DIANNE MICHELLE MCBRIDE-WHITE - Physical Therapist License in Missouri | # 070017536

DIANNE MICHELLE MCBRIDE-WHITE

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017536

License Status

NOT RENEWED

Business

N

First Name

DIANNE

Middle

MICHELLE

Last Name

MCBRIDE-WHITE

Business Name

DIANNE MICHELLE MCBRIDE-WHITE

Original Issue Date

12/04/2009

Effective Date

09/05/2012

Expiration Date

09/30/2014

State

MO

Ever Disciplined

N

LastModifiedDate

11/17/2014