MIKE A MENDIOLA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012819

License Status

NOT RENEWED

Business

First Name

MIKE

Middle

Last Name

MENDIOLA

Business Name

MIKE A MENDIOLA

Original Issue Date

01/22/2002

Effective Date

09/30/2016

Expiration Date

09/30/2018

City

LEAVENWORTH

State

Zip

66048

Ever Disciplined

LastModifiedDate

12/05/2018