THOMAS R MASON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001007

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

Last Name

MASON

Business Name

THOMAS R MASON

Original Issue Date

11/18/1991

Effective Date

09/26/2017

Expiration Date

09/30/2019

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

01/13/2020