RICHARD RANDALL KIDWELL - Physical Therapist License in Missouri | # 070002360

RICHARD RANDALL KIDWELL

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002360

License Status

INACTIVE

Business

N

First Name

RICHARD RANDALL

Last Name

KIDWELL

Business Name

RICHARD RANDALL KIDWELL

Original Issue Date

01/13/1977

Effective Date

09/30/2004

Expiration Date

09/30/2006

State

MO

Ever Disciplined

N

LastModifiedDate

10/25/2012