WILLIAM J RUSSELL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001630

License Status

NOT RENEWED

Business

First Name

WILLIAM J

Last Name

RUSSELL

Business Name

WILLIAM J RUSSELL

Original Issue Date

01/20/1993

Effective Date

01/20/1993

Expiration Date

09/30/1995

City

CARBONDALE

State

Zip

62903

County

JACKSON

Ever Disciplined

LastModifiedDate

10/14/2005