SAMUEL W MARTIN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070025184

License Status

NOT RENEWED

Business

First Name

SAMUEL

Middle

Last Name

MARTIN

Business Name

SAMUEL W MARTIN

Original Issue Date

06/15/2020

Effective Date

08/03/2020

Expiration Date

09/30/2022

City

EAST LANSING

State

Zip

48823

Ever Disciplined

LastModifiedDate

11/28/2022