FLORENCE R BAUTISTA JR - Physical Therapist License in Tennessee | # 070008186

FLORENCE R BAUTISTA JR

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070008186

License Status

INACTIVE

Business

N

First Name

FLORENCE R

Last Name

BAUTISTA JR

Business Name

FLORENCE R BAUTISTA JR

Original Issue Date

05/03/1994

Effective Date

05/03/1994

Expiration Date

09/30/2004

State

TN

Ever Disciplined

N

LastModifiedDate

09/01/2006