MARA A BALLESTEROS - Physical Therapist License in Louisiana | # 070008479

MARA A BALLESTEROS

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070008479

License Status

NOT RENEWED

Business

N

First Name

MARA A

Last Name

BALLESTEROS

Business Name

MARA A BALLESTEROS

Original Issue Date

12/14/1994

Effective Date

12/14/1994

Expiration Date

09/30/2000

State

LA

Ever Disciplined

N

LastModifiedDate

10/17/2005