KALEIGH BLAIN AYALA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160008526

License Status

NOT RENEWED

Business

First Name

KALEIGH

Middle

BLAIN

Last Name

AYALA

Business Name

KALEIGH BLAIN AYALA

Original Issue Date

03/19/2019

Effective Date

03/19/2019

Expiration Date

09/30/2019

City

VINCENNES

State

Zip

47591

Ever Disciplined

LastModifiedDate

01/13/2020