MICAYLA BRIANNE PEDRICK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070025823

License Status

NOT RENEWED

Business

First Name

MICAYLA

Middle

BRIANNE

Last Name

PEDRICK

Business Name

MICAYLA BRIANNE PEDRICK

Original Issue Date

04/14/2021

Effective Date

04/14/2021

Expiration Date

09/30/2022

City

NATICK

State

Zip

01760

Ever Disciplined

LastModifiedDate

11/28/2022