MATTHEW A GREEN - Physical Therapist License in Missouri | # 070013145

MATTHEW A GREEN

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013145

License Status

INACTIVE

Business

N

First Name

MATTHEW

Middle

A

Last Name

GREEN

Business Name

MATTHEW A GREEN

Original Issue Date

08/20/2002

Effective Date

08/20/2002

Expiration Date

09/30/2004

State

MO

Ever Disciplined

N

LastModifiedDate

09/01/2006