MARY B LIEDLOFF Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070000886

License Status

NOT RENEWED

Business

First Name

MARY B

Last Name

LIEDLOFF

Business Name

MARY B LIEDLOFF

Original Issue Date

01/01/1998

Expiration Date

09/30/2006

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

10/14/2005