JEFFERSON SAMUEL JUSTIN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009179

License Status

NOT RENEWED

Business

First Name

JEFFERSON SAMUEL

Last Name

JUSTIN

Business Name

JEFFERSON SAMUEL JUSTIN

Original Issue Date

11/17/1995

Effective Date

11/17/1995

Expiration Date

09/30/2002

City

TEXARKANA

State

Zip

75503

County

TEXAS

Ever Disciplined

LastModifiedDate

10/17/2005