LEWIS M CUNNINGHAM IV Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160008000

License Status

NOT RENEWED

Business

First Name

LEWIS M

Last Name

CUNNINGHAM IV

Business Name

LEWIS M CUNNINGHAM IV

Original Issue Date

08/18/2017

Effective Date

08/27/2019

Expiration Date

01/31/2022

City

RUSHVILLE

State

Zip

62681

Ever Disciplined

LastModifiedDate

05/19/2022