ADAM M LAFORME Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009147

License Status

INACTIVE

Business

First Name

ADAM M

Last Name

LAFORME

Business Name

ADAM M LAFORME

Original Issue Date

10/17/1995

Effective Date

10/17/1995

Expiration Date

09/30/1998

City

BOULDER

State

Zip

80303

County

COLORADO

Ever Disciplined

LastModifiedDate

10/14/2005