CRISPINA SY TAN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011964

License Status

NOT RENEWED

Business

First Name

CRISPINA

Middle

Last Name

TAN

Business Name

CRISPINA SY TAN

Original Issue Date

05/31/2000

Effective Date

05/31/2000

Expiration Date

09/30/2004

City

HIGHLANDS RANCH

State

Zip

80126

County

COLORADO

Ever Disciplined

LastModifiedDate

10/17/2005