ANSLEY CAITLIN HAZOURI Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070024830

License Status

NOT RENEWED

Business

First Name

ANSLEY

Middle

CAITLIN

Last Name

HAZOURI

Business Name

ANSLEY CAITLIN HAZOURI

Original Issue Date

11/05/2019

Effective Date

08/25/2020

Expiration Date

09/30/2022

City

MACOMB

State

Zip

61455

Ever Disciplined

LastModifiedDate

11/28/2022