JILL LIEVANO
License Number: PTA19000
Data As Of 5/14/2024
| Profession | Physical Therapist Assistant |
|---|---|
| License | PTA19000 |
| License Status | CLEAR/Active |
| License Expiration Date | 11/30/2025 |
| License Original Issue Date | 01/03/2001 |
| Address of Record | 12913 Spring Lake Dr. |
| COOPER CITY, FL 33330 | |
| Discipline on File | Yes |
| Public Complaint | Yes |
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