CARALYN J DEBASH Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070022564

License Status

NOT RENEWED

Business

First Name

CARALYN

Middle

Last Name

DEBASH

Business Name

CARALYN J DEBASH

Original Issue Date

08/23/2016

Effective Date

09/22/2020

Expiration Date

09/30/2022

City

PHOENIX

State

Zip

85053

County

COOK

Ever Disciplined

LastModifiedDate

11/28/2022