MARK JAY LEVSEN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004282

License Status

NOT RENEWED

Business

First Name

MARK JAY

Last Name

LEVSEN

Business Name

MARK JAY LEVSEN

Original Issue Date

09/07/1984

Effective Date

08/11/2010

Expiration Date

09/30/2012

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

01/16/2013