VIVIEN M BICIERRO Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070015792

License Status

INACTIVE

Business

First Name

VIVIEN

Middle

Last Name

BICIERRO

Business Name

VIVIEN M BICIERRO

Original Issue Date

06/11/2007

Effective Date

08/06/2010

Expiration Date

09/30/2012

City

JOPLIN

State

Zip

64801

County

JASPER

Ever Disciplined

LastModifiedDate

07/05/2012