MARK ELLIOTT MATTINGLY Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004559

License Status

NOT RENEWED

Business

First Name

MARK

Middle

ELLIOTT

Last Name

MATTINGLY

Business Name

MARK ELLIOTT MATTINGLY

Original Issue Date

08/16/1985

Effective Date

03/05/2009

Expiration Date

09/30/2010

City

PERRYVILLE

State

Zip

63775

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/08/2010