FLORENCE R BAUTISTA JR Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070008186

License Status

INACTIVE

Business

First Name

FLORENCE R

Last Name

BAUTISTA JR

Business Name

FLORENCE R BAUTISTA JR

Original Issue Date

05/03/1994

Effective Date

05/03/1994

Expiration Date

09/30/2004

City

SMYRNA

State

Zip

37167

County

TENNESSEE

Ever Disciplined

LastModifiedDate

09/01/2006