LUCENA M MONTENEGRO Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070007301

License Status

NOT RENEWED

Business

First Name

LUCENA M

Last Name

MONTENEGRO

Business Name

LUCENA M MONTENEGRO

Original Issue Date

01/06/1993

Effective Date

01/06/1993

Expiration Date

09/30/1996

City

FARMINGTON HILLS

State

Zip

48334

Ever Disciplined

LastModifiedDate

10/14/2005