PENNY J HICKS Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004598

License Status

INACTIVE

Business

First Name

PENNY J

Last Name

HICKS

Business Name

PENNY J HICKS

Original Issue Date

11/25/1985

Effective Date

11/25/1985

Expiration Date

09/30/2000

City

ALBUQUERQUE

State

Zip

87120

County

NEW MEXICO

Ever Disciplined

LastModifiedDate

10/17/2005