ANDRE BOTHA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070008094

License Status

NOT RENEWED

Business

First Name

ANDRE

Last Name

BOTHA

Business Name

ANDRE BOTHA

Original Issue Date

03/10/1994

Effective Date

03/10/1994

Expiration Date

09/30/1994

City

SOUTHFIELD

State

Zip

48034

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/14/2005