NANCY B AVENA Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004615

License Status

INACTIVE

Business

First Name

NANCY B

Last Name

AVENA

Business Name

NANCY B AVENA

Original Issue Date

11/25/1985

Effective Date

11/25/1985

Expiration Date

09/30/1988

City

ST LOUIS

State

Zip

63128

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/14/2005