RANDIMIEL C GALVEZ Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070015494

License Status

NOT RENEWED

Business

First Name

RANDIMIEL

Middle

Last Name

GALVEZ

Business Name

RANDIMIEL C GALVEZ

Original Issue Date

12/29/2006

Effective Date

08/23/2012

Expiration Date

09/30/2014

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

11/17/2014