DEBORAH WICKAAM DAVIS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002152

License Status

NOT RENEWED

Business

First Name

DEBORAH WICKAAM

Last Name

DAVIS

Business Name

DEBORAH WICKAAM DAVIS

Original Issue Date

01/16/1976

Effective Date

01/16/1976

Expiration Date

09/30/1992

City

PANA

State

Zip

62557

County

CHRISTIAN

Ever Disciplined

LastModifiedDate

10/14/2005