MISTY R CONWAY Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003254

License Status

NOT RENEWED

Business

First Name

MISTY

Middle

Last Name

CONWAY

Business Name

MISTY R CONWAY

Original Issue Date

12/28/1998

Effective Date

08/22/2011

Expiration Date

09/30/2013

City

STEELEVILLE

State

Zip

62288

County

RANDOLPH

Ever Disciplined

LastModifiedDate

11/12/2013