ANTONIO A LAXA III Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009491

License Status

NOT RENEWED

Business

First Name

ANTONIO A

Last Name

LAXA III

Business Name

ANTONIO A LAXA III

Original Issue Date

05/08/1996

Effective Date

05/08/1996

Expiration Date

09/30/2000

City

CYPRESS

State

Zip

32432

County

FLORIDA

Ever Disciplined

LastModifiedDate

10/17/2005