CRYSTAL C RIDER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070016917

License Status

NOT RENEWED

Business

First Name

CRYSTAL

Middle

Last Name

RIDER

Business Name

CRYSTAL C RIDER

Original Issue Date

02/19/2009

Effective Date

07/14/2010

Expiration Date

09/30/2012

City

TUCSON

State

Zip

85710

County

ARIZONA

Ever Disciplined

LastModifiedDate

01/16/2013