JEFFREY KRISTJAN PRISE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070016839

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

KRISTJAN

Last Name

PRISE

Business Name

JEFFREY KRISTJAN PRISE

Original Issue Date

12/17/2008

Effective Date

12/17/2008

Expiration Date

09/30/2010

City

JONES

State

Zip

73049

County

OKLAHOMA

Ever Disciplined

LastModifiedDate

11/08/2010