KATHERINE E MACK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070021404

License Status

NOT RENEWED

Business

First Name

KATHERINE

Middle

Last Name

MACK

Business Name

KATHERINE E MACK

Original Issue Date

06/30/2015

Effective Date

06/30/2015

Expiration Date

09/30/2016

City

ROSWELL

State

Zip

30075

County

GEORGIA

Ever Disciplined

LastModifiedDate

11/26/2016