CARRI MICHELLE DOMINICK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070016997

License Status

NOT RENEWED

Business

First Name

CARRI

Middle

MICHELLE

Last Name

DOMINICK

Business Name

CARRI MICHELLE DOMINICK

Original Issue Date

03/19/2009

Effective Date

03/19/2009

Expiration Date

09/30/2010

City

SALEM

State

Zip

97304

County

OREGON

Ever Disciplined

LastModifiedDate

11/08/2010