CAROLYN R HABROCK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002179

License Status

NOT RENEWED

Business

First Name

CAROLYN R

Last Name

HABROCK

Business Name

CAROLYN R HABROCK

Original Issue Date

06/06/1995

Effective Date

10/02/2015

Expiration Date

09/30/2017

City

ST LOUIS

State

Zip

63129

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/01/2017