MARDELL A OTT Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000996

License Status

INACTIVE

Business

First Name

MARDELL A

Last Name

OTT

Business Name

MARDELL A OTT

Original Issue Date

11/18/1991

Effective Date

09/03/2009

Expiration Date

09/30/2011

City

CONGERVILLE

State

Zip

61729

County

WOODFORD

Ever Disciplined

LastModifiedDate

07/07/2011