MARYELLEN M PETRIE - Physical Therapist License in Missouri | # 070019423

MARYELLEN M PETRIE

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070019423

License Status

NOT RENEWED

Business

N

First Name

MARYELLEN

Middle

M

Last Name

PETRIE

Business Name

MARYELLEN M PETRIE

Original Issue Date

08/21/2012

Effective Date

09/30/2016

Expiration Date

09/30/2018

State

MO

Ever Disciplined

N

LastModifiedDate

12/05/2018