HELEN JANE MATHIS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003411

License Status

NOT RENEWED

Business

First Name

HELEN JANE

Last Name

MATHIS

Business Name

HELEN JANE MATHIS

Original Issue Date

03/11/1981

Effective Date

03/11/1981

Expiration Date

09/30/2004

City

SOUTH BEND

State

Zip

46614

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005