MASON D HOLMAN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160007268

License Status

NOT RENEWED

Business

First Name

MASON

Middle

Last Name

HOLMAN

Business Name

MASON D HOLMAN

Original Issue Date

08/12/2015

Effective Date

10/05/2021

Expiration Date

09/30/2023

City

SCHERERVILLE

State

Zip

46375

County

LAKE

Ever Disciplined

LastModifiedDate

02/02/2024