ANTONIO A LAXA III - Physical Therapist License in Florida | # 070009491

ANTONIO A LAXA III

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009491

License Status

NOT RENEWED

Business

N

First Name

ANTONIO A

Last Name

LAXA III

Business Name

ANTONIO A LAXA III

Original Issue Date

05/08/1996

Effective Date

05/08/1996

Expiration Date

09/30/2000

State

FL

Ever Disciplined

N

LastModifiedDate

10/17/2005