MARY L SIEGFRIED Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001960

License Status

NOT RENEWED

Business

First Name

MARY L

Last Name

SIEGFRIED

Business Name

MARY L SIEGFRIED

Original Issue Date

09/13/1994

Effective Date

08/12/2013

Expiration Date

09/30/2015

City

HENRY

State

Zip

61537

County

MARSHALL

Ever Disciplined

LastModifiedDate

11/03/2015