CHAZ CARROL BECKWITH Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160008953

License Status

INACTIVE

Business

First Name

CHAZ

Middle

CARROL

Last Name

BECKWITH

Business Name

CHAZ CARROL BECKWITH

Original Issue Date

07/22/2020

Effective Date

07/22/2020

Expiration Date

12/31/2021

City

LARNED

State

Zip

67550

Ever Disciplined

LastModifiedDate

12/21/2021