GAIL WINIFRED BAUDENDISTEL Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001985

License Status

INACTIVE

Business

First Name

GAIL WINIFRED

Last Name

BAUDENDISTEL

Business Name

GAIL WINIFRED BAUDENDISTEL

Original Issue Date

02/05/1975

Effective Date

02/05/1975

Expiration Date

09/30/1990

City

FENTON

State

Zip

63026

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/14/2005