PRIMO I A BETANIO Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070006951

License Status

INACTIVE

Business

First Name

PRIMO I A

Last Name

BETANIO

Business Name

PRIMO I A BETANIO

Original Issue Date

05/05/1992

Effective Date

05/05/1992

Expiration Date

09/30/1998

City

LIVONIA

State

Zip

48152

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/14/2005