GLENN ALLEN KOEHLER Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001562

License Status

INACTIVE

Business

First Name

GLENN ALLEN

Last Name

KOEHLER

Business Name

GLENN ALLEN KOEHLER

Original Issue Date

05/03/1972

Effective Date

05/03/1972

Expiration Date

09/30/1994

City

NEWPORT

State

Zip

72112

County

ARKANSAS

Ever Disciplined

LastModifiedDate

10/14/2005