RANDY J ROSE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009091

License Status

NOT RENEWED

Business

First Name

RANDY J

Last Name

ROSE

Business Name

RANDY J ROSE

Original Issue Date

09/18/1995

Effective Date

09/18/1995

Expiration Date

09/30/2000

City

METAIRIE

State

Zip

70005

County

LOUISIANA

Ever Disciplined

LastModifiedDate

10/17/2005