JACKIE L SCULL - Physical Therapist License in Missouri | # 160003305

JACKIE L SCULL

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003305

License Status

NOT RENEWED

Business

N

First Name

JACKIE

Middle

L

Last Name

SCULL

Business Name

JACKIE L SCULL

Original Issue Date

02/10/1999

Effective Date

02/10/1999

Expiration Date

09/30/1999

State

MO

Ever Disciplined

N

LastModifiedDate

10/14/2005