JAVON RANDLE BEA - Physical Therapist License in Minnesota | # 070002046

JAVON RANDLE BEA

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002046

License Status

NOT RENEWED

Business

N

First Name

JAVON RANDLE

Last Name

BEA

Business Name

JAVON RANDLE BEA

Original Issue Date

12/22/1975

Effective Date

12/22/1975

State

MN

Ever Disciplined

N

LastModifiedDate

10/14/2005