ALVERNE BURKE FIDDMONT Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003408

License Status

INACTIVE

Business

First Name

ALVERNE BURKE

Last Name

FIDDMONT

Business Name

ALVERNE BURKE FIDDMONT

Original Issue Date

03/11/1981

Effective Date

03/11/1981

Expiration Date

09/30/1984

City

OLIVETTE

State

Zip

63132

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/14/2005