POLLY S MASEMORE Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004726

License Status

ACTIVE

Business

First Name

POLLY S

Last Name

MASEMORE

Business Name

POLLY S MASEMORE

Original Issue Date

02/27/1986

Effective Date

09/11/2024

Expiration Date

09/30/2026

City

BLOOMINGTON

State

Zip

61704

Ever Disciplined

LastModifiedDate

09/11/2024