GRETA E PRIDEMORE Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000804

License Status

ACTIVE

Business

First Name

GRETA E

Last Name

PRIDEMORE

Business Name

GRETA E PRIDEMORE

Original Issue Date

10/24/1991

Effective Date

07/08/2025

Expiration Date

09/30/2027

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

07/08/2025