KELLEY LEIGH HUIZAR Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017483

License Status

NOT RENEWED

Business

First Name

KELLEY

Middle

LEIGH

Last Name

HUIZAR

Business Name

KELLEY LEIGH HUIZAR

Original Issue Date

10/21/2009

Effective Date

09/30/2010

Expiration Date

09/30/2012

City

LAFAYETTE

State

Zip

47905

County

INDIANA

Ever Disciplined

LastModifiedDate

01/16/2013