MARY ELIZABETH PARK Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070010030

License Status

INACTIVE

Business

First Name

MARY ELIZABETH

Last Name

PARK

Business Name

MARY ELIZABETH PARK

Original Issue Date

03/17/1997

Effective Date

03/17/1997

Expiration Date

09/30/2004

City

URBANDALE

State

Zip

50322

County

IOWA

Ever Disciplined

LastModifiedDate

09/01/2006