JACK C MAPES JR Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001781

License Status

NOT RENEWED

Business

First Name

JACK C

Last Name

MAPES JR

Business Name

JACK C MAPES JR

Original Issue Date

12/20/1973

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

11/08/2006