MELVIN DANIEL HOLTZCLAW - Physical Therapist License in Tennessee | # 070002802

MELVIN DANIEL HOLTZCLAW

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002802

License Status

INACTIVE

Business

N

First Name

MELVIN DANIEL

Last Name

HOLTZCLAW

Business Name

MELVIN DANIEL HOLTZCLAW

Original Issue Date

12/18/1978

Effective Date

12/18/1978

Expiration Date

09/30/1988

State

TN

Ever Disciplined

N

LastModifiedDate

10/14/2005