License holder summary

CHURBOCK MARY BETH BASILE is a Physical Therapists and Physical Therapist Assistants licensed to practice in California. This licensed professional license is not current. The license was granted 06/08/1984 and expired on 05/31/1987.

California

Department of Consumer Affairs

CHURBOCK MARY BETH BASILE
Physical Therapists and Physical Therapist Assistants
License number
12166
Date granted
06/08/1984
Date expires
05/31/1987
Class
Physical Therapists and Physical Therapist Assistants
Status
Canceled
californialicensing.org
ID 12203389
LAST UPDATED 2026-05-04 07:59:51 UTC

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