FARID BOUALAM Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070028217

License Status

ACTIVE

Business

First Name

FARID

Last Name

BOUALAM

Business Name

FARID BOUALAM

Original Issue Date

05/09/2024

Effective Date

07/30/2024

Expiration Date

09/30/2026

City

DRAPER

State

Zip

84020

Ever Disciplined

LastModifiedDate

07/30/2024