DEBRA A DIXON Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000805

License Status

INACTIVE

Business

First Name

DEBRA A

Last Name

DIXON

Business Name

DEBRA A DIXON

Original Issue Date

10/24/1991

Effective Date

10/24/1991

Expiration Date

09/30/1999

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

10/14/2005