JOHN SOUDER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001695

License Status

NOT RENEWED

Business

First Name

JOHN

Last Name

SOUDER

Business Name

JOHN SOUDER

Original Issue Date

05/23/1973

Effective Date

09/25/2014

Expiration Date

09/30/2016

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

11/26/2016