CONNIE C PENN Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001924

License Status

INACTIVE

Business

First Name

CONNIE C

Last Name

PENN

Business Name

CONNIE C PENN

Original Issue Date

12/22/1974

Effective Date

12/22/1974

Expiration Date

09/30/1994

City

TULSA

State

Zip

74137

County

OKLAHOMA

Ever Disciplined

LastModifiedDate

10/14/2005