ALVERNE BURKE FIDDMONT - Physical Therapist License in Missouri | # 070003408

ALVERNE BURKE FIDDMONT

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003408

License Status

INACTIVE

Business

N

First Name

ALVERNE BURKE

Last Name

FIDDMONT

Business Name

ALVERNE BURKE FIDDMONT

Original Issue Date

03/11/1981

Effective Date

03/11/1981

Expiration Date

09/30/1984

State

MO

Ever Disciplined

N

LastModifiedDate

10/14/2005