EDGIN GOODIE A TAN - Physical Therapist License in Nevada | # 070014486

EDGIN GOODIE A TAN

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014486

License Status

NOT RENEWED

Business

N

First Name

EDGIN GOODIE

Middle

A

Last Name

TAN

Business Name

EDGIN GOODIE A TAN

Original Issue Date

07/01/2005

Effective Date

10/01/2006

Expiration Date

09/30/2008

State

NV

Ever Disciplined

N

LastModifiedDate

11/06/2008