TERI MIX LOVELACE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002248

License Status

NOT RENEWED

Business

First Name

TERI MIX

Last Name

LOVELACE

Business Name

TERI MIX LOVELACE

Original Issue Date

11/22/1976

Effective Date

07/09/2012

Expiration Date

09/30/2014

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

11/17/2014