MARK D HARTMAN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009421

License Status

NOT RENEWED

Business

First Name

MARK D

Last Name

HARTMAN

Business Name

MARK D HARTMAN

Original Issue Date

04/09/1996

Effective Date

04/09/1996

Expiration Date

09/30/2002

City

COAL VALLEY

State

Zip

61240

County

HENRY

Ever Disciplined

LastModifiedDate

10/17/2005