PHILLIP M TRACY Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001365

License Status

INACTIVE

Business

First Name

PHILLIP M

Last Name

TRACY

Business Name

PHILLIP M TRACY

Original Issue Date

01/01/1998

Effective Date

08/03/2012

Expiration Date

09/30/2014

City

HAMILTON

State

Zip

62341

County

HANCOCK

Ever Disciplined

LastModifiedDate

07/03/2014