CODY JAMES VAN DE VEN - Physical Therapist License in Missouri | # 070022245

CODY JAMES VAN DE VEN

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070022245

License Status

NOT RENEWED

Business

N

First Name

CODY

Middle

JAMES

Last Name

VAN DE VEN

Business Name

CODY JAMES VAN DE VEN

Original Issue Date

07/13/2016

Effective Date

08/14/2018

Expiration Date

09/30/2020

State

MO

Ever Disciplined

N

LastModifiedDate

01/14/2021