CAROLYN D LEYVA Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004933

License Status

INACTIVE

Business

First Name

CAROLYN

Middle

Last Name

LEYVA

Business Name

CAROLYN D LEYVA

Original Issue Date

01/10/1987

Effective Date

08/10/2016

Expiration Date

09/30/2018

City

VALDOSTA

State

Zip

31605

County

TENNESSEE

Ever Disciplined

LastModifiedDate

07/07/2018