JIM MASON GRAY Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070000505

License Status

NOT RENEWED

Business

First Name

JIM MASON

Last Name

GRAY

Business Name

JIM MASON GRAY

Original Issue Date

01/01/1998

Expiration Date

09/30/1992

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/14/2005