COLLEEN A WALLACE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070000868

License Status

NOT RENEWED

Business

First Name

COLLEEN A

Last Name

WALLACE

Business Name

COLLEEN A WALLACE

Original Issue Date

01/01/1998

City

GARLAND

State

Zip

75042

County

TEXAS

Ever Disciplined

LastModifiedDate

10/14/2005