JUDITH LUZA HAM Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002087

License Status

NOT RENEWED

Business

First Name

JUDITH LUZA

Last Name

HAM

Business Name

JUDITH LUZA HAM

Original Issue Date

01/16/1976

Effective Date

01/16/1976

City

BEND

State

Zip

97701

County

OREGON

Ever Disciplined

LastModifiedDate

10/14/2005