MARK WAYNE HENEBRY Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017005

License Status

NOT RENEWED

Business

First Name

MARK

Middle

WAYNE

Last Name

HENEBRY

Business Name

MARK WAYNE HENEBRY

Original Issue Date

03/24/2009

Effective Date

03/24/2009

Expiration Date

09/30/2010

City

TROY

State

Zip

63379

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/08/2010