MATHISON MCCONVILLE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070025032

License Status

NOT RENEWED

Business

First Name

MATHISON

Last Name

MCCONVILLE

Business Name

MATHISON MCCONVILLE

Original Issue Date

03/10/2020

Effective Date

09/29/2020

Expiration Date

09/30/2022

City

HAMBURG

State

Zip

07419

Ever Disciplined

LastModifiedDate

11/28/2022