LAURIE A MAUE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002118

License Status

NOT RENEWED

Business

First Name

LAURIE A

Last Name

MAUE

Business Name

LAURIE A MAUE

Original Issue Date

01/31/1995

Effective Date

10/02/2017

Expiration Date

09/30/2019

City

STAUNTON

State

Zip

62088

County

MACOUPIN

Ever Disciplined

LastModifiedDate

01/13/2020