RICHARD S PESTILLOS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070016376

License Status

NOT RENEWED

Business

First Name

RICHARD

Middle

Last Name

PESTILLOS

Business Name

RICHARD S PESTILLOS

Original Issue Date

04/25/2008

Effective Date

10/02/2018

Expiration Date

09/30/2020

City

POPLAR BLUFF

State

Zip

63901

County

MISSOURI

Ever Disciplined

LastModifiedDate

01/14/2021