SCOTT R IVIE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002577

License Status

NOT RENEWED

Business

First Name

SCOTT R

Last Name

IVIE

Business Name

SCOTT R IVIE

Original Issue Date

11/14/1996

Effective Date

11/14/1996

Expiration Date

09/30/1999

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

10/14/2005