MATTHEW ROBERT MUSSALLEM Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013542

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

ROBERT

Last Name

MUSSALLEM

Business Name

MATTHEW ROBERT MUSSALLEM

Original Issue Date

06/24/2003

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

PLAINFIELD

State

Zip

60544

County

WILL

Ever Disciplined

LastModifiedDate

11/08/2006