SANDRA E PARKS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011621

License Status

NOT RENEWED

Business

First Name

SANDRA

Middle

Last Name

PARKS

Business Name

SANDRA E PARKS

Original Issue Date

11/29/1999

Effective Date

10/01/2006

Expiration Date

09/30/2008

City

BOWLING GREEN

State

Zip

42103

County

KENTUCKY

Ever Disciplined

LastModifiedDate

11/06/2008