PATRICE M KLAYUM Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001348

License Status

NOT RENEWED

Business

First Name

PATRICE M

Last Name

KLAYUM

Business Name

PATRICE M KLAYUM

Original Issue Date

01/16/1992

Effective Date

09/10/2013

Expiration Date

09/30/2015

City

LAKEVILLE

State

Zip

55044

County

MINNESOTA

Ever Disciplined

LastModifiedDate

11/03/2015