MELVIN DANIEL HOLTZCLAW Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002802

License Status

INACTIVE

Business

First Name

MELVIN DANIEL

Last Name

HOLTZCLAW

Business Name

MELVIN DANIEL HOLTZCLAW

Original Issue Date

12/18/1978

Effective Date

12/18/1978

Expiration Date

09/30/1988

City

JACKSON

State

Zip

38301

County

TENNESSEE

Ever Disciplined

LastModifiedDate

10/14/2005