CODY JAMES VAN DE VEN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070022245

License Status

NOT RENEWED

Business

First Name

CODY

Middle

JAMES

Last Name

VAN DE VEN

Business Name

CODY JAMES VAN DE VEN

Original Issue Date

07/13/2016

Effective Date

08/14/2018

Expiration Date

09/30/2020

City

MARBLE HILL

State

Zip

63764

County

MISSOURI

Ever Disciplined

LastModifiedDate

01/14/2021