KRISTOFER M MATTIS Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070019403

License Status

ACTIVE

Business

First Name

KRISTOFER

Middle

Last Name

MATTIS

Business Name

KRISTOFER M MATTIS

Original Issue Date

08/20/2012

Effective Date

07/26/2024

Expiration Date

09/30/2026

City

MARTINSVILLE

State

Zip

62442

County

CLARK

Ever Disciplined

LastModifiedDate

07/26/2024