DAVE R HERMANSON - Physical Therapist License in Missouri | # 160002381

DAVE R HERMANSON

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002381

License Status

INACTIVE

Business

N

First Name

DAVE R

Last Name

HERMANSON

Business Name

DAVE R HERMANSON

Original Issue Date

01/10/1996

Effective Date

01/10/1996

Expiration Date

09/30/2003

State

MO

Ever Disciplined

N

LastModifiedDate

10/17/2005