PETRA U MINNICK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070008089

License Status

NOT RENEWED

Business

First Name

PETRA U

Last Name

MINNICK

Business Name

PETRA U MINNICK

Original Issue Date

03/05/1994

Effective Date

03/05/1994

Expiration Date

09/30/1998

City

SCOTT AFB

State

Zip

62225

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/14/2005