FRANCIS ALBERT D CARMEN LAZO Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003021

License Status

NOT RENEWED

Business

First Name

FRANCIS ALBERT D

Last Name

CARMEN LAZO

Business Name

FRANCIS ALBERT D CARMEN LAZO

Original Issue Date

01/02/1980

Effective Date

09/05/2018

Expiration Date

09/30/2020

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

01/14/2021