MARK ALAN MASSE Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012096

License Status

ACTIVE

Business

First Name

MARK

Middle

ALAN

Last Name

MASSE

Business Name

MARK ALAN MASSE

Original Issue Date

09/08/2000

Effective Date

08/27/2024

Expiration Date

09/30/2026

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

08/27/2024