MATTHEW A FROMAN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002782

License Status

NOT RENEWED

Business

First Name

MATTHEW A

Last Name

FROMAN

Business Name

MATTHEW A FROMAN

Original Issue Date

09/15/1997

Effective Date

09/15/1997

Expiration Date

09/30/2003

City

ARTHUR

State

Zip

61911

County

DOUGLAS

Ever Disciplined

LastModifiedDate

10/17/2005