KEVIN DALE GRIGGS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004389

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

DALE

Last Name

GRIGGS

Business Name

KEVIN DALE GRIGGS

Original Issue Date

12/06/2004

Effective Date

07/05/2007

Expiration Date

09/30/2009

City

BENTON

State

Zip

62812

Ever Disciplined

LastModifiedDate

11/04/2009