CHAIVUT VORACHACREYANAN - Physical Therapist License in Virginia | # 070006044

CHAIVUT VORACHACREYANAN

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070006044

License Status

INACTIVE

Business

N

First Name

CHAIVUT

Last Name

VORACHACREYANAN

Business Name

CHAIVUT VORACHACREYANAN

Original Issue Date

03/31/1990

Effective Date

03/31/1990

Expiration Date

09/30/1996

State

VA

Ever Disciplined

N

LastModifiedDate

10/14/2005