KIM C GOYENA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070020402

License Status

NOT RENEWED

Business

First Name

KIM

Middle

Last Name

GOYENA

Business Name

KIM C GOYENA

Original Issue Date

11/14/2013

Effective Date

09/18/2014

Expiration Date

09/30/2016

City

CROWN POINT

State

Zip

46307

County

INDIANA

Ever Disciplined

LastModifiedDate

11/26/2016