MARK W BRYAN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012062

License Status

NOT RENEWED

Business

First Name

MARK

Middle

Last Name

BRYAN

Business Name

MARK W BRYAN

Original Issue Date

08/25/2000

Effective Date

10/01/2018

Expiration Date

09/30/2020

City

ELIZABETH

State

Zip

61028

County

JO DAVIESS

Ever Disciplined

LastModifiedDate

01/14/2021