JUDITH MANGE Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001190

License Status

INACTIVE

Business

First Name

JUDITH

Last Name

MANGE

Business Name

JUDITH MANGE

Original Issue Date

12/06/1958

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

ST LOUIS

State

Zip

63144

County

MISSOURI

Ever Disciplined

LastModifiedDate

07/13/2006