MATTHEW C CARLISLE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160008331

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

Last Name

CARLISLE

Business Name

MATTHEW C CARLISLE

Original Issue Date

08/28/2018

Effective Date

08/28/2018

Expiration Date

09/30/2019

City

CARLOCK

State

Zip

61725

Ever Disciplined

LastModifiedDate

01/13/2020