ROBIN G EISEN - Physical Therapist License in Indiana | # 070002239

ROBIN G EISEN

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002239

License Status

INACTIVE

Business

N

First Name

ROBIN G

Last Name

EISEN

Business Name

ROBIN G EISEN

Original Issue Date

11/22/1976

Effective Date

09/28/2020

Expiration Date

09/30/2022

State

IN

Ever Disciplined

N

LastModifiedDate

08/18/2022