ELIZABETH A BULICH Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001597

License Status

NOT RENEWED

Business

First Name

ELIZABETH A

Last Name

BULICH

Business Name

ELIZABETH A BULICH

Original Issue Date

11/29/1972

Effective Date

11/29/1972

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

10/14/2005