RUSSELL J CLIFFORD Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070010113

License Status

NOT RENEWED

Business

First Name

RUSSELL J

Last Name

CLIFFORD

Business Name

RUSSELL J CLIFFORD

Original Issue Date

05/03/1997

Effective Date

05/03/1997

Expiration Date

09/30/1998

City

MANDAN

State

Zip

58554

County

NORTH DAKOTA

Ever Disciplined

LastModifiedDate

10/14/2005