MARIS OMALLEY EBELING DPT Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070027913

License Status

ACTIVE

Business

Title

DPT

First Name

MARIS

Middle

OMALLEY

Last Name

EBELING

Business Name

MARIS OMALLEY EBELING DPT

Original Issue Date

11/09/2023

Effective Date

09/30/2024

Expiration Date

09/30/2026

City

SAINT LOUIS

State

Zip

63130

Ever Disciplined

LastModifiedDate

09/30/2024