BRIAN S SPARKMAN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002148

License Status

NOT RENEWED

Business

First Name

BRIAN S

Last Name

SPARKMAN

Business Name

BRIAN S SPARKMAN

Original Issue Date

05/01/1995

Effective Date

10/02/2015

Expiration Date

09/30/2017

City

FLORISSANT

State

Zip

63034

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/01/2017