KELLY DENISE HAWTHORNE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012268

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

DENISE

Last Name

HAWTHORNE

Business Name

KELLY DENISE HAWTHORNE

Original Issue Date

12/28/2000

Effective Date

08/15/2012

Expiration Date

09/30/2014

City

ST LOUIS

State

Zip

63112

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/17/2014