TRACY A BALTHAZOR - Physical Therapist License in Colorado | # 070005587

TRACY A BALTHAZOR

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070005587

License Status

INACTIVE

Business

N

First Name

TRACY A

Last Name

BALTHAZOR

Business Name

TRACY A BALTHAZOR

Original Issue Date

12/31/1988

Effective Date

12/31/1988

Expiration Date

09/30/1994

State

CO

Ever Disciplined

N

LastModifiedDate

10/14/2005