MEREK C DEACON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011130

License Status

NOT RENEWED

Business

First Name

MEREK

Middle

Last Name

DEACON

Business Name

MEREK C DEACON

Original Issue Date

02/08/1999

Effective Date

02/08/1999

Expiration Date

09/30/2004

City

ROCHESTER

State

Zip

55901

County

MINNESOTA

Ever Disciplined

LastModifiedDate

10/17/2005