DAVIS J MARTIN Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160009685

License Status

ACTIVE

Business

First Name

DAVIS

Middle

Last Name

MARTIN

Business Name

DAVIS J MARTIN

Original Issue Date

10/04/2022

Effective Date

09/08/2025

Expiration Date

09/30/2027

City

BLOOMINGTON

State

Zip

61705

County

MCLEAN

Ever Disciplined

LastModifiedDate

09/08/2025