CAROL DALIRE CORPUZ Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017860

License Status

NOT RENEWED

Business

First Name

CAROL

Middle

DALIRE

Last Name

CORPUZ

Business Name

CAROL DALIRE CORPUZ

Original Issue Date

07/12/2010

Effective Date

07/12/2010

Expiration Date

09/30/2012

City

ELLICOTT CITY

State

Zip

21043

County

MARYLAND

Ever Disciplined

LastModifiedDate

01/16/2013