ALICE J BUZZARD Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002786

License Status

INACTIVE

Business

First Name

ALICE J

Last Name

BUZZARD

Business Name

ALICE J BUZZARD

Original Issue Date

09/16/1997

Effective Date

09/11/2015

Expiration Date

09/30/2017

City

GODFREY

State

Zip

62035

County

MADISON

Ever Disciplined

LastModifiedDate

07/07/2017