IRA BAYLON CONVALECER
Direct Access Authorization - Physical Therapy
Pennsylvania DAPT002697 Inactive
This Pennsylvania license was held by IRA BAYLON CONVALECER. The license is no longer active. It was granted on 11/29/2012 and expired on 12/31/2014
LICENSE DETAILS
- License Number: DAPT002697
- Category: Direct Access Authorization - PT
- Status: Inactive
- Date Granted: 11/29/2012 (over 11 years ago)
- Expiry Date: 12/31/2014 (over 9 years ago)
LOCATIONS
A Address
Chesterfield VA 23832