DANIEL RENE ROQUE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012554

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

RENE

Last Name

ROQUE

Business Name

DANIEL RENE ROQUE

Original Issue Date

08/01/2001

Effective Date

08/01/2001

Expiration Date

09/30/2004

City

MUNSTER

State

Zip

46321

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005