NANCY S DOLLENMEYER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013473

License Status

NOT RENEWED

Business

First Name

NANCY

Middle

Last Name

DOLLENMEYER

Business Name

NANCY S DOLLENMEYER

Original Issue Date

04/14/2003

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

11/08/2006