ALEXANDRA L MAZUR Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070021816

License Status

NOT RENEWED

Business

First Name

ALEXANDRA

Middle

Last Name

MAZUR

Business Name

ALEXANDRA L MAZUR

Original Issue Date

09/04/2015

Effective Date

07/12/2016

Expiration Date

09/30/2018

City

SAINT LOUIS

State

Zip

63110

Ever Disciplined

LastModifiedDate

12/05/2018