COLLEEN A WALLACE - Physical Therapist License in Texas | # 070000868

COLLEEN A WALLACE

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070000868

License Status

NOT RENEWED

Business

N

First Name

COLLEEN A

Last Name

WALLACE

Business Name

COLLEEN A WALLACE

Original Issue Date

01/01/1998

State

TX

Ever Disciplined

N

LastModifiedDate

10/14/2005