AUTUMN LEE CORTIVO Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004782

License Status

NOT RENEWED

Business

First Name

AUTUMN

Middle

LEE

Last Name

CORTIVO

Business Name

AUTUMN LEE CORTIVO

Original Issue Date

07/06/2007

Effective Date

09/10/2019

Expiration Date

01/31/2022

City

FLORISSANT

State

Zip

63031

County

MISSOURI

Ever Disciplined

LastModifiedDate

05/19/2022