BETHANY S BALZIS Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003781

License Status

INACTIVE

Business

First Name

BETHANY S

Last Name

BALZIS

Business Name

BETHANY S BALZIS

Original Issue Date

11/08/1982

Effective Date

11/08/1982

Expiration Date

09/30/1988

City

CEDAR CREST

State

Zip

87008

County

NEW MEXICO

Ever Disciplined

LastModifiedDate

10/14/2005