MARY J HUMMEL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070007084

License Status

NOT RENEWED

Business

First Name

MARY J

Last Name

HUMMEL

Business Name

MARY J HUMMEL

Original Issue Date

09/04/1992

Effective Date

09/04/1992

Expiration Date

09/30/1998

City

BALLWIN

State

Zip

63011

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/14/2005