BEENA MATHEW Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070010408

License Status

NOT RENEWED

Business

First Name

BEENA

Last Name

MATHEW

Business Name

BEENA MATHEW

Original Issue Date

12/31/1997

Effective Date

12/31/1997

Expiration Date

09/30/2004

City

LANSING

State

Zip

48911

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/17/2005