MICHELLE D RUDOLPH Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000925

License Status

INACTIVE

Business

First Name

MICHELLE D

Last Name

RUDOLPH

Business Name

MICHELLE D RUDOLPH

Original Issue Date

11/06/1991

Effective Date

10/01/2015

Expiration Date

09/30/2017

City

SAINT ROBERT

State

Zip

65584

County

MISSOURI

Ever Disciplined

LastModifiedDate

07/07/2017