JANISE B EVANGELISTA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013670

License Status

NOT RENEWED

Business

First Name

JANISE

Middle

Last Name

EVANGELISTA

Business Name

JANISE B EVANGELISTA

Original Issue Date

10/08/2003

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

GLENDALE

State

Zip

91225

County

COOK

Ever Disciplined

LastModifiedDate

11/08/2006