AIZIE LEE QUILICOT LAGARE DPT Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070028521

License Status

ACTIVE

Business

Title

DPT

First Name

AIZIE LEE

Middle

QUILICOT

Last Name

LAGARE

Business Name

AIZIE LEE QUILICOT LAGARE DPT

Original Issue Date

08/22/2024

Effective Date

08/22/2024

Expiration Date

09/30/2026

City

HOWELL

State

Zip

07731

Ever Disciplined

LastModifiedDate

07/25/2024