SALLY PALM LARSON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002161

License Status

NOT RENEWED

Business

First Name

SALLY PALM

Last Name

LARSON

Business Name

SALLY PALM LARSON

Original Issue Date

01/30/1976

Effective Date

01/30/1976

Expiration Date

09/30/1984

City

TACOMA

State

Zip

98498

County

WASHINGTON

Ever Disciplined

LastModifiedDate

10/14/2005