MARY A SPENCER Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002833

License Status

INACTIVE

Business

First Name

MARY

Middle

Last Name

SPENCER

Business Name

MARY A SPENCER

Original Issue Date

10/09/1997

Effective Date

07/05/2007

Expiration Date

09/30/2009

City

TEUTOPOLIS

State

Zip

62467

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

07/09/2009