MARTHA L MAUTERER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004048

License Status

NOT RENEWED

Business

First Name

MARTHA L

Last Name

MAUTERER

Business Name

MARTHA L MAUTERER

Original Issue Date

10/28/1983

Effective Date

10/28/1983

Expiration Date

09/30/1992

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/14/2005