MARY JANE SOUTH Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013316

License Status

NOT RENEWED

Business

First Name

MARY

Middle

JANE

Last Name

SOUTH

Business Name

MARY JANE SOUTH

Original Issue Date

11/26/2002

Effective Date

08/18/2020

Expiration Date

09/30/2022

City

MIDLOTHIAN

State

Zip

23112

Ever Disciplined

LastModifiedDate

11/28/2022