MICHAEL J MERCURIO Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001651

License Status

NOT RENEWED

Business

First Name

MICHAEL J

Last Name

MERCURIO

Business Name

MICHAEL J MERCURIO

Original Issue Date

12/22/1972

Effective Date

09/19/2016

Expiration Date

09/30/2018

City

OFALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

12/05/2018