BRYCE M WADDELL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070019387

License Status

NOT RENEWED

Business

First Name

BRYCE

Middle

Last Name

WADDELL

Business Name

BRYCE M WADDELL

Original Issue Date

08/17/2012

Effective Date

08/17/2012

Expiration Date

09/30/2014

City

MONTICELLO

State

Zip

61856

County

PIATT

Ever Disciplined

LastModifiedDate

11/17/2014