MAT COLBURN EVELETH Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003360

License Status

NOT RENEWED

Business

First Name

MAT

Middle

COLBURN

Last Name

EVELETH

Business Name

MAT COLBURN EVELETH

Original Issue Date

06/25/1999

Effective Date

07/11/2019

Expiration Date

01/31/2022

City

DAVENPORT

State

Zip

52803

County

IOWA

Ever Disciplined

LastModifiedDate

05/19/2022