SONIA Y MANTILLA Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009028

License Status

INACTIVE

Business

First Name

SONIA Y

Last Name

MANTILLA

Business Name

SONIA Y MANTILLA

Original Issue Date

09/07/1995

Effective Date

09/07/1995

Expiration Date

09/30/2002

City

MIDDLEBURY

State

Zip

46540

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005