JO ANN NICCUM-JOHNSON Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070000529

License Status

INACTIVE

Business

First Name

JO ANN

Last Name

NICCUM-JOHNSON

Business Name

JO ANN NICCUM-JOHNSON

Original Issue Date

01/01/1998

Effective Date

10/01/2006

Expiration Date

09/30/2008

City

ST LOUIS

State

Zip

63122

County

MISSOURI

Ever Disciplined

LastModifiedDate

07/10/2008