ALICE L LONG Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003051

License Status

INACTIVE

Business

First Name

ALICE L

Last Name

LONG

Business Name

ALICE L LONG

Original Issue Date

12/24/1979

Effective Date

12/24/1979

Expiration Date

09/30/1988

City

SAN RAFAEL

State

Zip

94903

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/14/2005