MARY F GRAHAM Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002054

License Status

NOT RENEWED

Business

First Name

MARY F

Last Name

GRAHAM

Business Name

MARY F GRAHAM

Original Issue Date

11/22/1994

Effective Date

11/24/2021

Expiration Date

09/30/2023

City

CARBONDALE

State

Zip

62902

County

JACKSON

Ever Disciplined

LastModifiedDate

02/02/2024