EDGIN GOODIE A TAN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014486

License Status

NOT RENEWED

Business

First Name

EDGIN GOODIE

Middle

Last Name

TAN

Business Name

EDGIN GOODIE A TAN

Original Issue Date

07/01/2005

Effective Date

10/01/2006

Expiration Date

09/30/2008

City

LAUGHLIN

State

Zip

89029

County

NEVADA

Ever Disciplined

LastModifiedDate

11/06/2008