THERESA K ODENTHAL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001325

License Status

NOT RENEWED

Business

First Name

THERESA K

Last Name

ODENTHAL

Business Name

THERESA K ODENTHAL

Original Issue Date

01/07/1992

Effective Date

01/07/1992

Expiration Date

09/30/2003

City

COLUMBIA

State

Zip

62236

County

MONROE

Ever Disciplined

LastModifiedDate

10/17/2005