Michigan
Department of Licensing and Regulation
DAX MARQUEZ CRISOSTOMO
Physical Therapy - Physical Therapist
License number
5501012122
Date granted
10/12/2004
Date expires
07/31/2017
Class
Physical Therapy - Physical Therapist
Status
Active
Address
michiganlicensing.org
ID 39291749
LAST UPDATED 2026-05-08 00:17:45 UTC
LAST UPDATED 2026-05-08 00:17:45 UTC
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