SUSAN K HOLMES Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001655

License Status

NOT RENEWED

Business

First Name

SUSAN K

Last Name

HOLMES

Business Name

SUSAN K HOLMES

Original Issue Date

02/03/1993

Effective Date

02/03/1993

Expiration Date

09/30/1997

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

10/14/2005