MARK A PITHAN MD Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011241

License Status

NOT RENEWED

Business

Title

First Name

MARK

Middle

Last Name

PITHAN

Business Name

MARK A PITHAN MD

Original Issue Date

04/06/1999

Effective Date

04/06/1999

Expiration Date

09/30/2002

City

TAYLOR RIDGE

State

Zip

61284

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/17/2005