SAMANTHA M PERCICH - Physical Therapist License in Missouri | # 070022787

SAMANTHA M PERCICH

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070022787

License Status

NOT RENEWED

Business

N

First Name

SAMANTHA

Middle

M

Last Name

PERCICH

Business Name

SAMANTHA M PERCICH

Original Issue Date

01/27/2017

Effective Date

01/27/2017

Expiration Date

09/30/2018

State

MO

Ever Disciplined

N

LastModifiedDate

12/05/2018