KIM ELAINE LONGORIA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013236

License Status

NOT RENEWED

Business

First Name

KIM

Middle

ELAINE

Last Name

LONGORIA

Business Name

KIM ELAINE LONGORIA

Original Issue Date

10/02/2002

Effective Date

10/02/2002

Expiration Date

09/30/2004

City

AUSTIN

State

Zip

78748

County

TEXAS

Ever Disciplined

LastModifiedDate

10/17/2005