AILAINE O DACUMOS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070008028

License Status

NOT RENEWED

Business

First Name

AILAINE O

Last Name

DACUMOS

Business Name

AILAINE O DACUMOS

Original Issue Date

01/22/1994

Effective Date

01/22/1994

Expiration Date

09/30/1996

City

BLOOMINGTON

State

Zip

47401

County

INDIANA

Ever Disciplined

LastModifiedDate

10/14/2005