MARY JANE SOUTH - Physical Therapist License in Virginia | # 070013316

MARY JANE SOUTH

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013316

License Status

NOT RENEWED

Business

N

First Name

MARY

Middle

JANE

Last Name

SOUTH

Business Name

MARY JANE SOUTH

Original Issue Date

11/26/2002

Effective Date

08/18/2020

Expiration Date

09/30/2022

State

VA

Ever Disciplined

N

LastModifiedDate

11/28/2022