ANTHONY BASIL MARQUEZ Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160007678

License Status

NOT RENEWED

Business

First Name

ANTHONY

Middle

BASIL

Last Name

MARQUEZ

Business Name

ANTHONY BASIL MARQUEZ

Original Issue Date

10/28/2016

Effective Date

10/28/2016

Expiration Date

09/30/2017

City

EAST CHICAGO

State

Zip

46312

County

INDIANA

Ever Disciplined

LastModifiedDate

11/01/2017