KATHERINE E MACK - Physical Therapist License in Georgia | # 070021404

KATHERINE E MACK

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070021404

License Status

NOT RENEWED

Business

N

First Name

KATHERINE

Middle

E

Last Name

MACK

Business Name

KATHERINE E MACK

Original Issue Date

06/30/2015

Effective Date

06/30/2015

Expiration Date

09/30/2016

State

GA

Ever Disciplined

N

LastModifiedDate

11/26/2016