MARICOR MUNOZ VILLAVICENCIO Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070016556

License Status

ACTIVE

Business

First Name

MARICOR

Middle

MUNOZ

Last Name

VILLAVICENCIO

Business Name

MARICOR MUNOZ VILLAVICENCIO

Original Issue Date

08/04/2008

Effective Date

09/11/2024

Expiration Date

09/30/2026

City

DYER

State

Zip

46311

County

INDIANA

Ever Disciplined

LastModifiedDate

09/11/2024