CARL THOMAS ANDERSON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070000541

License Status

NOT RENEWED

Business

First Name

CARL

Middle

THOMAS

Last Name

ANDERSON

Business Name

CARL THOMAS ANDERSON

Original Issue Date

12/11/1962

Effective Date

12/11/1962

Expiration Date

08/01/1974

City

SAN JOSE

State

Zip

95125

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/14/2005