License holder summary

DOMENECH , IVAN RAFAEL is a Department Of Health - Physical Therapist Assistant licensed to practice in Tennessee. This medical licensee license is not current. The license was granted 04/27/2005 and expired on 09/30/2009.

Department of Health

Board of Medical Examiners

DOMENECH , IVAN RAFAEL
Department Of Health - Physical Therapist Assistant
License number
3750
Date granted
04/27/2005
Date expires
09/30/2009
Class
Department Of Health - Physical Therapist Assistant
Status
Expired
Address
medicaltn.com
ID 42329922
LAST UPDATED 2024-02-25 18:35:50 UTC

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