ELIZABETH ANN LARSON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070019625

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

ANN

Last Name

LARSON

Business Name

ELIZABETH ANN LARSON

Original Issue Date

11/28/2012

Effective Date

11/28/2012

Expiration Date

09/30/2014

City

CORNING

State

Zip

14830

County

NEW YORK

Ever Disciplined

LastModifiedDate

11/17/2014