ELIZABETH C DOCK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014250

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

Last Name

DOCK

Business Name

ELIZABETH C DOCK

Original Issue Date

12/09/2004

Effective Date

09/30/2014

Expiration Date

09/30/2016

City

MAHTOMEDI

State

Zip

55115

County

MINNESOTA

Ever Disciplined

LastModifiedDate

11/26/2016