JACOB SCOTT BUCKMAN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006574

License Status

NOT RENEWED

Business

First Name

JACOB

Middle

SCOTT

Last Name

BUCKMAN

Business Name

JACOB SCOTT BUCKMAN

Original Issue Date

10/02/2013

Effective Date

10/02/2013

Expiration Date

09/30/2015

City

HANNIBAL

State

Zip

63401

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/03/2015