PENNY J HICKS - Physical Therapist License in New Mexico | # 070004598

PENNY J HICKS

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004598

License Status

INACTIVE

Business

N

First Name

PENNY J

Last Name

HICKS

Business Name

PENNY J HICKS

Original Issue Date

11/25/1985

Effective Date

11/25/1985

Expiration Date

09/30/2000

State

NM

Ever Disciplined

N

LastModifiedDate

10/17/2005