MARC A COLCLASURE Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011997

License Status

INACTIVE

Business

First Name

MARC

Middle

Last Name

COLCLASURE

Business Name

MARC A COLCLASURE

Original Issue Date

07/18/2000

Effective Date

08/08/2008

Expiration Date

09/30/2010

City

DAYTON

State

Zip

45458

County

PEORIA

Ever Disciplined

LastModifiedDate

07/08/2010