MARIANNE SEVERINE Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013261

License Status

ACTIVE

Business

First Name

MARIANNE

Last Name

SEVERINE

Business Name

MARIANNE SEVERINE

Original Issue Date

10/18/2002

Effective Date

07/06/2024

Expiration Date

09/30/2026

City

FARMINGTON

State

Zip

61531

County

FULTON

Ever Disciplined

LastModifiedDate

07/06/2024