RENAN A MILLAMA Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070016078

License Status

INACTIVE

Business

First Name

RENAN

Middle

Last Name

MILLAMA

Business Name

RENAN A MILLAMA

Original Issue Date

10/16/2007

Effective Date

08/04/2008

Expiration Date

09/30/2010

City

STROUDSBURG

State

Zip

18360

Ever Disciplined

LastModifiedDate

07/08/2010