JANE M CHARVAT Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070007076

License Status

NOT RENEWED

Business

First Name

JANE M

Last Name

CHARVAT

Business Name

JANE M CHARVAT

Original Issue Date

08/19/1992

Effective Date

08/19/1992

Expiration Date

09/30/1998

City

COTTONWOOD

State

Zip

86326

County

ARIZONA

Ever Disciplined

LastModifiedDate

10/14/2005