DEBORAH ATHENA ROSE RENNARD PRILUCK DPT Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070025831

License Status

ACTIVE

Business

Title

DPT

First Name

DEBORAH

Middle

ATHENA ROSE

Last Name

RENNARD PRILUCK

Business Name

DEBORAH ATHENA ROSE RENNARD PRILUCK DPT

Original Issue Date

04/22/2021

Effective Date

07/12/2024

Expiration Date

09/30/2026

City

SAINT LOUIS

State

Zip

63139

Ever Disciplined

LastModifiedDate

07/12/2024