ELIZABETH JEAN MEZZACAPPA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070022111

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

JEAN

Last Name

MEZZACAPPA

Business Name

ELIZABETH JEAN MEZZACAPPA

Original Issue Date

03/31/2016

Effective Date

09/01/2016

Expiration Date

09/30/2018

City

ROSWELL

State

Zip

88201

County

NEW MEXICO

Ever Disciplined

LastModifiedDate

12/05/2018