TODD JOHN RICHARD Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011009

License Status

NOT RENEWED

Business

First Name

TODD

Middle

JOHN

Last Name

RICHARD

Business Name

TODD JOHN RICHARD

Original Issue Date

11/19/1998

Effective Date

09/05/2012

Expiration Date

09/30/2014

City

DAVENPORT

State

Zip

52807

County

IOWA

Ever Disciplined

LastModifiedDate

11/17/2014