MARTINE OMALLEY Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002840

License Status

NOT RENEWED

Business

First Name

MARTINE

Last Name

OMALLEY

Business Name

MARTINE OMALLEY

Original Issue Date

12/18/1978

Effective Date

12/18/1978

Expiration Date

09/30/1994

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

10/14/2005