License holder summary

MAYNARD VILLVICENCIO UTAYDE is a Physical Therapist licensed to practice in Indiana. The address on file for MAYNARD VILLVICENCIO UTAYDE is Granger IN 46530. This licensed professional license is current. The license was granted 12/13/1996 and expired on 06/30/2016.

Indiana

Professional Licensing Agency

MAYNARD VILLVICENCIO UTAYDE
Physical Therapist
License number
05005198A
Date granted
12/13/1996
Date expires
06/30/2016
Class
Physical Therapist
Status
Active
Address
Granger IN 46530
indianalicensing.org
ID 8372215
LAST UPDATED 2026-04-06 02:42:46 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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