TAD EVAN BAKER - Physical Therapist License in Missouri | # 070023395

TAD EVAN BAKER

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070023395

License Status

NOT RENEWED

Business

N

First Name

TAD

Middle

EVAN

Last Name

BAKER

Business Name

TAD EVAN BAKER

Original Issue Date

10/30/2017

Effective Date

10/30/2017

Expiration Date

09/30/2018

State

MO

Ever Disciplined

N

LastModifiedDate

12/05/2018