MARY SUE HERCULES - Physical Therapist License in Missouri | # 070004772

MARY SUE HERCULES

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004772

License Status

NOT RENEWED

Business

N

First Name

MARY SUE

Last Name

HERCULES

Business Name

MARY SUE HERCULES

Original Issue Date

05/19/1986

Effective Date

09/23/2010

Expiration Date

09/30/2012

State

MO

Ever Disciplined

N

LastModifiedDate

01/16/2013