ODESSA QUE SEWELL Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070015856

License Status

INACTIVE

Business

First Name

ODESSA

Middle

QUE

Last Name

SEWELL

Business Name

ODESSA QUE SEWELL

Original Issue Date

07/31/2007

Effective Date

09/28/2020

Expiration Date

09/30/2022

City

WAYNESBORO

State

Zip

17268

Ever Disciplined

LastModifiedDate

09/28/2022