EPIFANIA C LARGE - Physical Therapist License in Texas | # 070006088

EPIFANIA C LARGE

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070006088

License Status

NOT RENEWED

Business

N

First Name

EPIFANIA C

Last Name

LARGE

Business Name

EPIFANIA C LARGE

Original Issue Date

06/01/1990

Effective Date

06/01/1990

Expiration Date

09/30/1992

State

TX

Ever Disciplined

N

LastModifiedDate

10/14/2005