RICHARD A GREEN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070007866

License Status

NOT RENEWED

Business

First Name

RICHARD A

Last Name

GREEN

Business Name

RICHARD A GREEN

Original Issue Date

10/19/1993

Effective Date

10/19/1993

Expiration Date

09/30/2004

City

LAKEPORT

State

Zip

95453

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/17/2005