THOMAS C STORK Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070005439

License Status

INACTIVE

Business

First Name

THOMAS C

Last Name

STORK

Business Name

THOMAS C STORK

Original Issue Date

04/19/1988

Effective Date

04/19/1988

Expiration Date

09/30/1996

City

WOODBURY

State

Zip

55125

County

MINNESOTA

Ever Disciplined

LastModifiedDate

10/14/2005