JULIAN E RIVERA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070021893

License Status

NOT RENEWED

Business

First Name

JULIAN

Middle

Last Name

RIVERA

Business Name

JULIAN E RIVERA

Original Issue Date

11/18/2015

Effective Date

11/18/2015

Expiration Date

09/30/2016

City

KENOSHA

State

Zip

53142

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/26/2016