ANGELIE DAWN BANAYBANAY FLORES Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070022707

License Status

NOT RENEWED

Business

First Name

ANGELIE DAWN

Middle

BANAYBANAY

Last Name

FLORES

Business Name

ANGELIE DAWN BANAYBANAY FLORES

Original Issue Date

11/09/2016

Effective Date

07/07/2018

Expiration Date

09/30/2020

City

PECOS CITY

State

Zip

79772

Ever Disciplined

LastModifiedDate

01/14/2021