SOPHIA A GROSE Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001971

License Status

INACTIVE

Business

First Name

SOPHIA A

Last Name

GROSE

Business Name

SOPHIA A GROSE

Original Issue Date

09/13/1994

Effective Date

10/02/2017

Expiration Date

09/30/2019

City

HOUSE SPRINGS

State

Zip

63051

County

JEFFERSON

Ever Disciplined

LastModifiedDate

07/04/2019