TRACY A BALTHAZOR Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070005587

License Status

INACTIVE

Business

First Name

TRACY A

Last Name

BALTHAZOR

Business Name

TRACY A BALTHAZOR

Original Issue Date

12/31/1988

Effective Date

12/31/1988

Expiration Date

09/30/1994

City

BOULDER

State

Zip

80301

County

COLORADO

Ever Disciplined

LastModifiedDate

10/14/2005