MYA A RUEDA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013319

License Status

NOT RENEWED

Business

First Name

MYA

Middle

Last Name

RUEDA

Business Name

MYA A RUEDA

Original Issue Date

11/27/2002

Effective Date

11/27/2002

Expiration Date

09/30/2004

City

PHOENIX

State

Zip

85045

County

ARIZONA

Ever Disciplined

LastModifiedDate

10/17/2005