KATRINA ANNA TALACTAC ALCOY Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070016414

License Status

NOT RENEWED

Business

First Name

KATRINA ANNA

Middle

TALACTAC

Last Name

ALCOY

Business Name

KATRINA ANNA TALACTAC ALCOY

Original Issue Date

06/02/2008

Effective Date

08/02/2010

Expiration Date

09/30/2012

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

01/16/2013