TRACY L MCMINN Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004534

License Status

INACTIVE

Business

First Name

TRACY

Middle

Last Name

MCMINN

Business Name

TRACY L MCMINN

Original Issue Date

12/28/2005

Effective Date

07/05/2007

Expiration Date

09/30/2009

City

MASCOUTAH

State

Zip

62258

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

07/09/2009