SAMANTHA M PERCICH Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070022787

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

Last Name

PERCICH

Business Name

SAMANTHA M PERCICH

Original Issue Date

01/27/2017

Effective Date

01/27/2017

Expiration Date

09/30/2018

City

SAINT LOUIS

State

Zip

63129

Ever Disciplined

LastModifiedDate

12/05/2018