GEORGINA PERALTA CRUZ Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160008727

License Status

NOT RENEWED

Business

First Name

GEORGINA

Middle

PERALTA

Last Name

CRUZ

Business Name

GEORGINA PERALTA CRUZ

Original Issue Date

08/20/2019

Effective Date

08/20/2019

Expiration Date

01/31/2022

City

LAS CRUCES

State

Zip

88011

County

NEW MEXICO

Ever Disciplined

LastModifiedDate

05/19/2022