MARY SUE HERCULES Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004772

License Status

NOT RENEWED

Business

First Name

MARY SUE

Last Name

HERCULES

Business Name

MARY SUE HERCULES

Original Issue Date

05/19/1986

Effective Date

09/23/2010

Expiration Date

09/30/2012

City

ST LOUIS

State

Zip

63044

County

MISSOURI

Ever Disciplined

LastModifiedDate

01/16/2013