ETTA S HOLT Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002350

License Status

NOT RENEWED

Business

First Name

ETTA

Middle

Last Name

HOLT

Business Name

ETTA S HOLT

Original Issue Date

01/02/1996

Effective Date

07/05/2007

Expiration Date

09/30/2009

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

11/19/2009