JOANNE M MATA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001525

License Status

NOT RENEWED

Business

First Name

JOANNE M

Last Name

MATA

Business Name

JOANNE M MATA

Original Issue Date

09/25/1992

Effective Date

09/25/2013

Expiration Date

09/30/2015

City

DEKALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

11/03/2015