TAD EVAN BAKER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070023395

License Status

NOT RENEWED

Business

First Name

TAD

Middle

EVAN

Last Name

BAKER

Business Name

TAD EVAN BAKER

Original Issue Date

10/30/2017

Effective Date

10/30/2017

Expiration Date

09/30/2018

City

SAINT LOUIS

State

Zip

63108

Ever Disciplined

LastModifiedDate

12/05/2018