CHAD A BUSS Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005677

License Status

INACTIVE

Business

First Name

CHAD

Middle

Last Name

BUSS

Business Name

CHAD A BUSS

Original Issue Date

06/30/2011

Effective Date

09/27/2017

Expiration Date

09/30/2019

City

O'FALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

07/04/2019