ALICIA M AUGUSTINE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003549

License Status

NOT RENEWED

Business

First Name

ALICIA

Middle

Last Name

AUGUSTINE

Business Name

ALICIA M AUGUSTINE

Original Issue Date

01/18/2000

Effective Date

10/02/2017

Expiration Date

09/30/2019

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

01/13/2020