CHRISTINA M MUDD Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001729

License Status

NOT RENEWED

Business

First Name

CHRISTINA

Middle

Last Name

MUDD

Business Name

CHRISTINA M MUDD

Original Issue Date

09/14/1993

Effective Date

09/11/2015

Expiration Date

09/30/2017

City

SULLIVAN

State

Zip

63080

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/01/2017