JULIE A TISSOT Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014725

License Status

NOT RENEWED

Business

First Name

JULIE

Middle

Last Name

TISSOT

Business Name

JULIE A TISSOT

Original Issue Date

09/20/2005

Effective Date

11/09/2005

Expiration Date

09/30/2006

City

SAINT LOUIS

State

Zip

63102

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/08/2006