MARIBETH LYN MAGANA COLOMA Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070019073

License Status

INACTIVE

Business

First Name

MARIBETH

Middle

LYN MAGANA

Last Name

COLOMA

Business Name

MARIBETH LYN MAGANA COLOMA

Original Issue Date

04/24/2012

Effective Date

08/12/2014

Expiration Date

09/30/2016

City

EUGENE

State

Zip

97402

Ever Disciplined

LastModifiedDate

07/06/2016