JAVON RANDLE BEA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002046

License Status

NOT RENEWED

Business

First Name

JAVON RANDLE

Last Name

BEA

Business Name

JAVON RANDLE BEA

Original Issue Date

12/22/1975

Effective Date

12/22/1975

City

MINNEAPOLIS

State

Zip

55421

County

MINNESOTA

Ever Disciplined

LastModifiedDate

10/14/2005