JACKIE L SCULL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003305

License Status

NOT RENEWED

Business

First Name

JACKIE

Middle

Last Name

SCULL

Business Name

JACKIE L SCULL

Original Issue Date

02/10/1999

Effective Date

02/10/1999

Expiration Date

09/30/1999

City

WENTZVILLE

State

Zip

63385

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/14/2005