DOUGLAS H MERRELL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070008947

License Status

NOT RENEWED

Business

First Name

DOUGLAS H

Last Name

MERRELL

Business Name

DOUGLAS H MERRELL

Original Issue Date

08/30/1995

Effective Date

09/24/2008

Expiration Date

09/30/2010

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

11/08/2010