RYAN TAYLOR DAVIDSON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070024883

License Status

NOT RENEWED

Business

First Name

RYAN

Middle

TAYLOR

Last Name

DAVIDSON

Business Name

RYAN TAYLOR DAVIDSON

Original Issue Date

11/26/2019

Effective Date

11/26/2019

Expiration Date

09/30/2020

City

JOPLIN

State

Zip

64804

Ever Disciplined

LastModifiedDate

01/14/2021