DOBROMIRA P TAKOVA GARNER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004258

License Status

NOT RENEWED

Business

First Name

DOBROMIRA

Middle

Last Name

TAKOVA GARNER

Business Name

DOBROMIRA P TAKOVA GARNER

Original Issue Date

01/21/2004

Effective Date

01/21/2004

Expiration Date

09/30/2005

City

COBDEN

State

Zip

62920

County

JACKSON

Ever Disciplined

LastModifiedDate

10/17/2005