KRISTEN R BEASLEY Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002841

License Status

INACTIVE

Business

First Name

KRISTEN R

Last Name

BEASLEY

Business Name

KRISTEN R BEASLEY

Original Issue Date

10/20/1997

Effective Date

10/20/1997

Expiration Date

09/30/1999

City

SAN DIEGO

State

Zip

92109

Ever Disciplined

LastModifiedDate

10/14/2005