PHILIP R POUZOL Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002931

License Status

INACTIVE

Business

First Name

PHILIP R

Last Name

POUZOL

Business Name

PHILIP R POUZOL

Original Issue Date

06/28/1979

Effective Date

06/28/1979

Expiration Date

09/30/1986

City

GLENDALE

State

Zip

26038

County

WEST VIRGINIA

Ever Disciplined

LastModifiedDate

10/14/2005