DONALD L AXSOM Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001240

License Status

NOT RENEWED

Business

First Name

DONALD L

Last Name

AXSOM

Business Name

DONALD L AXSOM

Original Issue Date

01/01/1998

City

POPLAR BLUFF

State

Zip

63901

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/14/2005