FARLEY GONZALES Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003380

License Status

INACTIVE

Business

First Name

FARLEY

Last Name

GONZALES

Business Name

FARLEY GONZALES

Original Issue Date

02/11/1981

Effective Date

02/11/1981

Expiration Date

09/30/1984

City

MACON

State

Zip

31210

County

GEORGIA

Ever Disciplined

LastModifiedDate

10/14/2005