MARIA CECILIA DOMINGUEZ DAVA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013422

License Status

NOT RENEWED

Business

First Name

MARIA CECILIA

Middle

DOMINGUEZ

Last Name

DAVA

Business Name

MARIA CECILIA DOMINGUEZ DAVA

Original Issue Date

03/25/2003

Effective Date

09/18/2014

Expiration Date

09/30/2016

City

CROWN POINT

State

Zip

46307

County

INDIANA

Ever Disciplined

LastModifiedDate

11/26/2016