TRACY M IBGUI Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002234

License Status

INACTIVE

Business

First Name

TRACY

Middle

Last Name

IBGUI

Business Name

TRACY M IBGUI

Original Issue Date

09/06/1995

Effective Date

09/06/1995

Expiration Date

09/30/2005

City

DANA POINT

State

Zip

92629

Ever Disciplined

LastModifiedDate

10/17/2005