TAWANA SHANTE SPANN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012762

License Status

NOT RENEWED

Business

First Name

TAWANA

Middle

SHANTE

Last Name

SPANN

Business Name

TAWANA SHANTE SPANN

Original Issue Date

11/30/2001

Effective Date

10/04/2010

Expiration Date

09/30/2012

City

ST LOUIS

State

Zip

63104

County

MISSOURI

Ever Disciplined

LastModifiedDate

01/16/2013