CAROLYN B HERIZA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002888

License Status

NOT RENEWED

Business

First Name

CAROLYN B

Last Name

HERIZA

Business Name

CAROLYN B HERIZA

Original Issue Date

04/20/1979

Effective Date

04/20/1979

Expiration Date

09/30/1996

City

GREENWOOD VILLAGE

State

Zip

80121

County

COLORADO

Ever Disciplined

LastModifiedDate

10/14/2005