DEBORAH G LAVENDER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003027

License Status

NOT RENEWED

Business

First Name

DEBORAH G

Last Name

LAVENDER

Business Name

DEBORAH G LAVENDER

Original Issue Date

12/24/1979

Effective Date

12/24/1979

Expiration Date

09/30/1996

City

BALLWIN

State

Zip

63021

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/14/2005