EARL C HALSTEAD Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001076

License Status

NOT RENEWED

Business

First Name

EARL C

Last Name

HALSTEAD

Business Name

EARL C HALSTEAD

Original Issue Date

12/06/1991

Effective Date

12/06/1991

Expiration Date

09/30/2005

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/17/2005