DAIVA AUDENAS BANAITIS Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070000888

License Status

INACTIVE

Business

First Name

DAIVA AUDENAS

Last Name

BANAITIS

Business Name

DAIVA AUDENAS BANAITIS

Original Issue Date

01/01/1998

Expiration Date

09/30/1984

City

WILSONVILLE

State

Zip

97070

County

OREGON

Ever Disciplined

LastModifiedDate

10/19/2009