MARK WAYNE HENEBRY - Physical Therapist License in Missouri | # 070017005

MARK WAYNE HENEBRY

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017005

License Status

NOT RENEWED

Business

N

First Name

MARK

Middle

WAYNE

Last Name

HENEBRY

Business Name

MARK WAYNE HENEBRY

Original Issue Date

03/24/2009

Effective Date

03/24/2009

Expiration Date

09/30/2010

State

MO

Ever Disciplined

N

LastModifiedDate

11/08/2010