ANNA MARIA SOLEMA BAYLE BAUTISTA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017780

License Status

NOT RENEWED

Business

First Name

ANNA MARIA

Middle

SOLEMA BAYLE

Last Name

BAUTISTA

Business Name

ANNA MARIA SOLEMA BAYLE BAUTISTA

Original Issue Date

05/19/2010

Effective Date

09/01/2010

Expiration Date

09/30/2012

City

SEDALIA

State

Zip

65301

County

MISSOURI

Ever Disciplined

LastModifiedDate

01/16/2013