MARY T WEAVER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070010936

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

WEAVER

Business Name

MARY T WEAVER

Original Issue Date

10/28/1998

Effective Date

10/28/1998

Expiration Date

09/30/2004

City

ST LOUIS

State

Zip

63146

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/17/2005