ANDREW S ODENWALD Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070021948

License Status

NOT RENEWED

Business

First Name

ANDREW

Middle

Last Name

ODENWALD

Business Name

ANDREW S ODENWALD

Original Issue Date

12/09/2015

Effective Date

08/29/2018

Expiration Date

09/30/2020

City

MIDVALE

State

Zip

84047

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

01/14/2021