CRAIG R PERILLOUX Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009324

License Status

INACTIVE

Business

First Name

CRAIG R

Last Name

PERILLOUX

Business Name

CRAIG R PERILLOUX

Original Issue Date

01/13/1996

Effective Date

01/13/1996

Expiration Date

09/30/1998

City

PONCHATOULA

State

Zip

70454

County

LOUISIANA

Ever Disciplined

LastModifiedDate

10/14/2005