NICHOLAS B WASHMUTH Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070016379

License Status

NOT RENEWED

Business

First Name

NICHOLAS

Middle

Last Name

WASHMUTH

Business Name

NICHOLAS B WASHMUTH

Original Issue Date

04/28/2008

Effective Date

07/09/2012

Expiration Date

09/30/2014

City

SAINT LOUIS

State

Zip

63108

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/17/2014