RENAE ANN GOODELL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004859

License Status

NOT RENEWED

Business

First Name

RENAE

Middle

ANN

Last Name

GOODELL

Business Name

RENAE ANN GOODELL

Original Issue Date

09/25/2007

Effective Date

07/22/2013

Expiration Date

09/30/2015

City

LAKEWOOD

State

Zip

98498

Ever Disciplined

LastModifiedDate

11/03/2015