ISAAC WAYNE ERVIN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070023653

License Status

NOT RENEWED

Business

First Name

ISAAC

Middle

WAYNE

Last Name

ERVIN

Business Name

ISAAC WAYNE ERVIN

Original Issue Date

06/08/2018

Effective Date

07/07/2018

Expiration Date

09/30/2020

City

CARLINVILLE

State

Zip

62626

Ever Disciplined

LastModifiedDate

01/14/2021