AVA GWEN WEINER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002408

License Status

NOT RENEWED

Business

First Name

AVA GWEN

Last Name

WEINER

Business Name

AVA GWEN WEINER

Original Issue Date

05/24/1977

Effective Date

05/24/1977

City

ST LOUIS

State

Zip

63108

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/14/2005