STEPHANIE LOURDES FADRIGA CRUZ Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070024189

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

LOURDES FADRIGA

Last Name

CRUZ

Business Name

STEPHANIE LOURDES FADRIGA CRUZ

Original Issue Date

02/27/2019

Effective Date

09/08/2020

Expiration Date

09/30/2022

City

GROSSE POINTE WOODS

State

Zip

48236

Ever Disciplined

LastModifiedDate

11/28/2022