CRYSTAL L GOLLA - Physical Therapist License in Florida | # 160004412

CRYSTAL L GOLLA

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004412

License Status

INACTIVE

Business

N

First Name

CRYSTAL

Middle

L

Last Name

GOLLA

Business Name

CRYSTAL L GOLLA

Original Issue Date

03/22/2005

Effective Date

09/30/2005

Expiration Date

09/30/2007

State

FL

Ever Disciplined

N

LastModifiedDate

07/05/2007