EPIFANIA C LARGE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070006088

License Status

NOT RENEWED

Business

First Name

EPIFANIA C

Last Name

LARGE

Business Name

EPIFANIA C LARGE

Original Issue Date

06/01/1990

Effective Date

06/01/1990

Expiration Date

09/30/1992

City

HOUSTON

State

Zip

77067

County

TEXAS

Ever Disciplined

LastModifiedDate

10/14/2005