MARY WALLACE MYERS Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001755

License Status

INACTIVE

Business

First Name

MARY WALLACE

Last Name

MYERS

Business Name

MARY WALLACE MYERS

Original Issue Date

11/13/1973

Effective Date

10/01/2006

Expiration Date

09/30/2008

City

KIRKSVILLE

State

Zip

63501

County

MISSOURI

Ever Disciplined

LastModifiedDate

07/10/2008