LAUREN M MEDINA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070015760

License Status

NOT RENEWED

Business

First Name

LAUREN

Middle

Last Name

MEDINA

Business Name

LAUREN M MEDINA

BusinessDBA

BRANNON

Original Issue Date

05/15/2007

Effective Date

10/01/2018

Expiration Date

09/30/2020

City

INDIANAPOLIS

State

Zip

46234

Ever Disciplined

LastModifiedDate

01/14/2021