PENNY K ECCLES Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004205

License Status

NOT RENEWED

Business

First Name

PENNY K

Last Name

ECCLES

Business Name

PENNY K ECCLES

Original Issue Date

05/08/1984

Effective Date

07/21/2014

Expiration Date

09/30/2016

City

AZUSA

State

Zip

91702

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

11/26/2016