MARTIN RACINE Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009448

License Status

INACTIVE

Business

First Name

MARTIN

Last Name

RACINE

Business Name

MARTIN RACINE

Original Issue Date

04/29/1996

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

AUSTIN

State

Zip

78703

Ever Disciplined

LastModifiedDate

07/13/2006