MICHAEL PATRICK TUCKEY Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002146

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

PATRICK

Last Name

TUCKEY

Business Name

MICHAEL PATRICK TUCKEY

Original Issue Date

01/16/1976

Effective Date

08/12/2020

Expiration Date

09/30/2022

City

ST LOUIS

State

Zip

63105

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/28/2022