NATHALIE FABRIQUIER PORMENTIRA Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017034

License Status

INACTIVE

Business

First Name

NATHALIE

Middle

FABRIQUIER

Last Name

PORMENTIRA

Business Name

NATHALIE FABRIQUIER PORMENTIRA

Original Issue Date

04/07/2009

Effective Date

09/26/2016

Expiration Date

09/30/2018

City

LAS VEGAS

State

Zip

89148

County

CLAY

Ever Disciplined

LastModifiedDate

07/07/2018