MATTHEW A GREEN Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013145

License Status

INACTIVE

Business

First Name

MATTHEW

Middle

Last Name

GREEN

Business Name

MATTHEW A GREEN

Original Issue Date

08/20/2002

Effective Date

08/20/2002

Expiration Date

09/30/2004

City

VALLEY PARK

State

Zip

63088

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/01/2006