CAROL GOLDBERG BIALES Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070000889

License Status

NOT RENEWED

Business

First Name

CAROL GOLDBERG

Last Name

BIALES

Business Name

CAROL GOLDBERG BIALES

Original Issue Date

01/05/1967

Effective Date

10/01/2006

Expiration Date

09/30/2008

City

SUN LAKES

State

Zip

85248

County

ARIZONA

Ever Disciplined

LastModifiedDate

11/06/2008