THERESA A CERVANTES Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002546

License Status

INACTIVE

Business

First Name

THERESA A

Last Name

CERVANTES

Business Name

THERESA A CERVANTES

Original Issue Date

11/02/1996

Effective Date

08/17/2017

Expiration Date

09/30/2019

City

CHEBOYGAN

State

Zip

49721

Ever Disciplined

LastModifiedDate

07/04/2019