PIERCE RUSSELL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070026320

License Status

NOT RENEWED

Business

First Name

PIERCE

Last Name

RUSSELL

Business Name

PIERCE RUSSELL

Original Issue Date

10/18/2021

Effective Date

10/18/2021

Expiration Date

09/30/2022

City

VERONA

State

Zip

53593

Ever Disciplined

LastModifiedDate

11/28/2022