KIM ELAINE LONGORIA - Physical Therapist License in Texas | # 070013236

KIM ELAINE LONGORIA

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013236

License Status

NOT RENEWED

Business

N

First Name

KIM

Middle

ELAINE

Last Name

LONGORIA

Business Name

KIM ELAINE LONGORIA

Original Issue Date

10/02/2002

Effective Date

10/02/2002

Expiration Date

09/30/2004

State

TX

Ever Disciplined

N

LastModifiedDate

10/17/2005