HEATHER L BALLANCE Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003617

License Status

INACTIVE

Business

First Name

HEATHER

Middle

Last Name

BALLANCE

Business Name

HEATHER L BALLANCE

Original Issue Date

06/08/2000

Effective Date

06/08/2000

Expiration Date

09/30/2001

City

MC CLURE

State

Zip

62957

County

ALEXANDER

Ever Disciplined

LastModifiedDate

10/17/2005