ADAM C MARSHALL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004349

License Status

NOT RENEWED

Business

First Name

ADAM

Middle

Last Name

MARSHALL

Business Name

ADAM C MARSHALL

Original Issue Date

09/27/2004

Effective Date

09/15/2014

Expiration Date

09/30/2015

City

HORN LAKE

State

Zip

38637

County

MISSISSIPPI

Ever Disciplined

LastModifiedDate

11/03/2015