LISA R SCULLY Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002735

License Status

NOT RENEWED

Business

First Name

LISA R

Last Name

SCULLY

Business Name

LISA R SCULLY

Original Issue Date

06/19/1997

Effective Date

06/19/1997

Expiration Date

09/30/1999

City

ST CLAIR

State

Zip

63077

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/14/2005