DAVE R HERMANSON Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002381

License Status

INACTIVE

Business

First Name

DAVE R

Last Name

HERMANSON

Business Name

DAVE R HERMANSON

Original Issue Date

01/10/1996

Effective Date

01/10/1996

Expiration Date

09/30/2003

City

ST LOUIS

State

Zip

63139

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/17/2005