FRED W THOMPSON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003020

License Status

NOT RENEWED

Business

First Name

FRED

Middle

Last Name

THOMPSON

Business Name

FRED W THOMPSON

Original Issue Date

07/13/1998

Effective Date

07/13/1998

Expiration Date

09/30/2005

City

DE SOTO

State

Zip

62924

County

JACKSON

Ever Disciplined

LastModifiedDate

10/17/2005