ARLYCE M PENAS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002906

License Status

NOT RENEWED

Business

First Name

ARLYCE M

Last Name

PENAS

Business Name

ARLYCE M PENAS

Original Issue Date

04/20/1979

Effective Date

04/20/1979

Expiration Date

08/01/1982

City

CHAMPAIGN

State

Zip

61820

County

NORTH DAKOTA

Ever Disciplined

LastModifiedDate

10/14/2005