CHARLES R ENZWILER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001289

License Status

NOT RENEWED

Business

First Name

CHARLES R

Last Name

ENZWILER

Business Name

CHARLES R ENZWILER

Original Issue Date

01/06/1992

Effective Date

09/16/2015

Expiration Date

09/30/2017

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

11/01/2017