LARRY J FARMER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070005776

License Status

NOT RENEWED

Business

First Name

LARRY J

Last Name

FARMER

Business Name

LARRY J FARMER

Original Issue Date

07/22/1989

Effective Date

07/22/1989

Expiration Date

09/30/1998

City

EAST ST LOUIS

State

Zip

62203

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/14/2005