MARY VANDEVEN Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070027215

License Status

ACTIVE

Business

First Name

MARY

Last Name

VANDEVEN

Business Name

MARY VANDEVEN

Original Issue Date

01/26/2023

Effective Date

08/27/2024

Expiration Date

09/30/2026

City

COLORADO SPRINGS

State

Zip

80907

Ever Disciplined

LastModifiedDate

08/27/2024