KEVIN C MARTIN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011722

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

Last Name

MARTIN

Business Name

KEVIN C MARTIN

Original Issue Date

02/04/2000

Effective Date

02/04/2000

Expiration Date

09/30/2000

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005