KALEIGH BLAIN AYALA - Physical Therapist License in Indiana | # 160008526

KALEIGH BLAIN AYALA

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160008526

License Status

NOT RENEWED

Business

N

First Name

KALEIGH

Middle

BLAIN

Last Name

AYALA

Business Name

KALEIGH BLAIN AYALA

Original Issue Date

03/19/2019

Effective Date

03/19/2019

Expiration Date

09/30/2019

State

IN

Ever Disciplined

N

LastModifiedDate

01/13/2020