MARY C COTHAM Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002305

License Status

NOT RENEWED

Business

First Name

MARY C

Last Name

COTHAM

Business Name

MARY C COTHAM

Original Issue Date

09/27/1995

Effective Date

08/28/2019

Expiration Date

01/31/2022

City

DONGOLA

State

Zip

62926

County

UNION

Ever Disciplined

LastModifiedDate

05/19/2022