THOMAS R HOLDEN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002861

License Status

NOT RENEWED

Business

First Name

THOMAS R

Last Name

HOLDEN

Business Name

THOMAS R HOLDEN

Original Issue Date

02/05/1979

Effective Date

02/05/1979

Expiration Date

09/30/1986

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/14/2005