ANTHONY EGAN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004932

License Status

NOT RENEWED

Business

First Name

ANTHONY

Last Name

EGAN

Business Name

ANTHONY EGAN

Original Issue Date

01/10/1987

Effective Date

10/01/2014

Expiration Date

09/30/2016

City

BALLWIN

State

Zip

63021

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/26/2016