TERRY BOSTICK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004928

License Status

NOT RENEWED

Business

First Name

TERRY

Last Name

BOSTICK

Business Name

TERRY BOSTICK

Original Issue Date

12/11/2007

Effective Date

12/11/2007

Expiration Date

09/30/2009

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

11/04/2009