W EDWARD DIRKS Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070000839

License Status

INACTIVE

Business

First Name

W EDWARD

Last Name

DIRKS

Business Name

W EDWARD DIRKS

Original Issue Date

01/01/1998

Expiration Date

09/30/2002

City

MAKANDA

State

Zip

62958

County

JACKSON

Ever Disciplined

LastModifiedDate

10/17/2005