MA VIDA D CASTRO Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013047

License Status

NOT RENEWED

Business

First Name

MA VIDA

Middle

Last Name

CASTRO

Business Name

MA VIDA D CASTRO

Original Issue Date

05/13/2002

Effective Date

05/13/2002

Expiration Date

09/30/2004

City

PARK CITY

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005