JENNIFER MASON MARTIN Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004694

License Status

ACTIVE

Business

First Name

JENNIFER

Last Name

MASON MARTIN

Business Name

JENNIFER MASON MARTIN

Original Issue Date

01/15/1986

Effective Date

08/28/2024

Expiration Date

09/30/2026

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

08/28/2024