HAZEL R FERNANDES - Physical Therapist License in Indiana | # 070007327

HAZEL R FERNANDES

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070007327

License Status

NOT RENEWED

Business

N

First Name

HAZEL R

Last Name

FERNANDES

Business Name

HAZEL R FERNANDES

Original Issue Date

01/07/1993

Effective Date

01/07/1993

Expiration Date

09/30/2002

State

IN

Ever Disciplined

N

LastModifiedDate

10/17/2005