California
Department of Consumer Affairs
DUER REVITAL
Physical Therapists and Physical Therapist Assistants
License number
30187
Date granted
02/23/2005
Date expires
11/30/2016
Class
Physical Therapists and Physical Therapist Assistants
Status
Valid
californialicensing.org
ID 12207188
LAST UPDATED 2026-07-16 13:07:51 UTC
LAST UPDATED 2026-07-16 13:07:51 UTC
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