MICHAEL THOMAS CIBULKA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003173

License Status

NOT RENEWED

Business

First Name

MICHAEL THOMAS

Last Name

CIBULKA

Business Name

MICHAEL THOMAS CIBULKA

Original Issue Date

05/21/1980

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

ST LOUIS

State

Zip

63028

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/08/2006