OLIVIA J WHITE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160009222

License Status

NOT RENEWED

Business

First Name

OLIVIA

Middle

Last Name

WHITE

Business Name

OLIVIA J WHITE

Original Issue Date

02/25/2021

Effective Date

12/16/2021

Expiration Date

09/30/2023

City

MURPHYSBORO

State

Zip

62966

Ever Disciplined

LastModifiedDate

02/02/2024