CAROLINA M REALEY Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004394

License Status

INACTIVE

Business

First Name

CAROLINA

Middle

Last Name

REALEY

Business Name

CAROLINA M REALEY

Original Issue Date

12/20/2004

Effective Date

09/06/2011

Expiration Date

09/30/2013

City

FAIRFIELD

State

Zip

45014

Ever Disciplined

LastModifiedDate

07/03/2013