DONALD E SPRAGUE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002163

License Status

NOT RENEWED

Business

First Name

DONALD E

Last Name

SPRAGUE

Business Name

DONALD E SPRAGUE

Original Issue Date

05/06/1995

Effective Date

09/14/2017

Expiration Date

09/30/2019

City

SHELBYVILLE

State

Zip

62565

County

SHELBY

Ever Disciplined

LastModifiedDate

01/13/2020