PAULA R PENROD Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000668

License Status

NOT RENEWED

Business

First Name

PAULA

Middle

Last Name

PENROD

Business Name

PAULA R PENROD

Original Issue Date

10/02/1991

Effective Date

09/07/2017

Expiration Date

09/30/2019

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

01/13/2020