ANNA MARIA SOLEMA BAYLE BAUTISTA - Physical Therapist License in Missouri | # 070017780

ANNA MARIA SOLEMA BAYLE BAUTISTA

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017780

License Status

NOT RENEWED

Business

N

First Name

ANNA MARIA

Middle

SOLEMA BAYLE

Last Name

BAUTISTA

Business Name

ANNA MARIA SOLEMA BAYLE BAUTISTA

Original Issue Date

05/19/2010

Effective Date

09/01/2010

Expiration Date

09/30/2012

State

MO

Ever Disciplined

N

LastModifiedDate

01/16/2013