MATTHEW C VANDEVORD Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160008993

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

Last Name

VANDEVORD

Business Name

MATTHEW C VANDEVORD

Original Issue Date

08/04/2020

Effective Date

09/29/2023

Expiration Date

09/30/2025

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

12/30/2025