SUSAN R HOLT Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001729

License Status

ACTIVE

Business

First Name

SUSAN R

Last Name

HOLT

Business Name

SUSAN R HOLT

Original Issue Date

10/03/1973

Effective Date

09/18/2024

Expiration Date

09/30/2026

City

EAST ST LOUIS

State

Zip

62201

Ever Disciplined

LastModifiedDate

09/18/2024