LYGEA A SAN PEDRO Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070010733

License Status

NOT RENEWED

Business

First Name

LYGEA

Middle

Last Name

SAN PEDRO

Business Name

LYGEA A SAN PEDRO

Original Issue Date

07/28/1998

Effective Date

07/28/1998

Expiration Date

09/30/2000

City

FORT WAYNE

State

Zip

46816

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005