MARK E CRAWFORD Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002679

License Status

NOT RENEWED

Business

First Name

MARK E

Last Name

CRAWFORD

Business Name

MARK E CRAWFORD

Original Issue Date

03/27/1997

Effective Date

03/27/1997

Expiration Date

09/30/1999

City

VIRDEN

State

Zip

62690

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/14/2005