TESNA MARY MATHEW Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011564

License Status

INACTIVE

Business

First Name

TESNA

Middle

MARY

Last Name

MATHEW

Business Name

TESNA MARY MATHEW

Original Issue Date

11/01/1999

Effective Date

11/01/1999

Expiration Date

09/30/2004

City

MIAMISBURG

State

Zip

45343

County

OHIO

Ever Disciplined

LastModifiedDate

09/01/2006