AGATHA L GRYGLAK Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160007177

License Status

ACTIVE

Business

First Name

AGATHA

Middle

Last Name

GRYGLAK

Business Name

AGATHA L GRYGLAK

Original Issue Date

07/29/2015

Effective Date

07/14/2025

Expiration Date

09/30/2027

City

ALBUQUERQUE

State

Zip

87112

Ever Disciplined

LastModifiedDate

07/14/2025