DOUGLAS B EDWARDS JR Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005846

License Status

NOT RENEWED

Business

First Name

DOUGLAS

Middle

Last Name

EDWARDS

Suffix

Business Name

DOUGLAS B EDWARDS JR

Original Issue Date

10/24/2011

Effective Date

01/11/2018

Expiration Date

09/30/2019

City

WEST BURLINGTON

State

Zip

52655

County

IOWA

Ever Disciplined

LastModifiedDate

01/13/2020