STANLEY WONG Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070019595

License Status

NOT RENEWED

Business

First Name

STANLEY

Last Name

WONG

Business Name

STANLEY WONG

Original Issue Date

11/19/2012

Effective Date

08/31/2020

Expiration Date

09/30/2022

City

SAINT LOUIS

State

Zip

63118

Ever Disciplined

LastModifiedDate

11/28/2022