ANGELINE LARDIZABAL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070018420

License Status

NOT RENEWED

Business

First Name

ANGELINE

Last Name

LARDIZABAL

Business Name

ANGELINE LARDIZABAL

Original Issue Date

06/01/2011

Effective Date

02/11/2019

Expiration Date

09/30/2020

City

ROCKLIN

State

Zip

95765

Ever Disciplined

LastModifiedDate

01/14/2021