SCOTT D AZUMA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003068

License Status

NOT RENEWED

Business

First Name

SCOTT D

Last Name

AZUMA

Business Name

SCOTT D AZUMA

Original Issue Date

12/24/1979

Effective Date

12/24/1979

Expiration Date

09/30/1998

City

MINNEAPOLIS

State

Zip

55403

County

MINNESOTA

Ever Disciplined

LastModifiedDate

10/14/2005