MARK ALAN MASSE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002159

License Status

NOT RENEWED

Business

First Name

MARK

Middle

ALAN

Last Name

MASSE

Business Name

MARK ALAN MASSE

Original Issue Date

05/06/1995

Effective Date

05/06/1995

Expiration Date

09/30/1997

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

10/14/2005