ELIZABETH ANNE HAWTHORNE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011506

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

ANNE

Last Name

HAWTHORNE

Business Name

ELIZABETH ANNE HAWTHORNE

Original Issue Date

09/21/1999

Effective Date

09/21/1999

Expiration Date

09/30/2000

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/17/2005