MARK ELLIOTT MATTINGLY - Physical Therapist License in Missouri | # 070004559

MARK ELLIOTT MATTINGLY

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004559

License Status

NOT RENEWED

Business

N

First Name

MARK

Middle

ELLIOTT

Last Name

MATTINGLY

Business Name

MARK ELLIOTT MATTINGLY

Original Issue Date

08/16/1985

Effective Date

03/05/2009

Expiration Date

09/30/2010

State

MO

Ever Disciplined

N

LastModifiedDate

11/08/2010