THOMAS D MARTINEZ Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160008814

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

Last Name

MARTINEZ

Business Name

THOMAS D MARTINEZ

Original Issue Date

10/30/2019

Effective Date

10/30/2019

Expiration Date

01/31/2022

City

NORMAL

State

Zip

61761

Ever Disciplined

LastModifiedDate

05/19/2022