MARY ELLEN MARTIN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004444

License Status

NOT RENEWED

Business

First Name

MARY ELLEN

Last Name

MARTIN

Business Name

MARY ELLEN MARTIN

Original Issue Date

03/22/1985

Effective Date

07/13/2022

Expiration Date

09/30/2024

City

WINFIELD

State

Zip

60190

Ever Disciplined

LastModifiedDate

02/27/2025