CARLA BUZAN Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004264

License Status

ACTIVE

Business

First Name

CARLA

Last Name

BUZAN

Business Name

CARLA BUZAN

Original Issue Date

09/07/1984

Effective Date

07/23/2024

Expiration Date

09/30/2026

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

07/23/2024