ASA MARIA LARSEN Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070008571

License Status

INACTIVE

Business

First Name

ASA MARIA

Last Name

LARSEN

Business Name

ASA MARIA LARSEN

Original Issue Date

01/18/1995

Effective Date

01/18/1995

Expiration Date

09/30/2004

City

LA MESA

State

Zip

91942

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/01/2006