THEODORA A VANWINKLE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002910

License Status

NOT RENEWED

Business

First Name

THEODORA A

Last Name

VANWINKLE

Business Name

THEODORA A VANWINKLE

Original Issue Date

04/20/1979

Effective Date

04/20/1979

Expiration Date

08/01/1982

City

MCLEANSBORO

State

Zip

62859

County

HAMILTON

Ever Disciplined

LastModifiedDate

10/14/2005