ALICE M MARTIN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001195

License Status

NOT RENEWED

Business

First Name

ALICE M

Last Name

MARTIN

Business Name

ALICE M MARTIN

Original Issue Date

12/19/1991

Effective Date

09/18/2017

Expiration Date

09/30/2019

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

01/13/2020