ANDREA MARIE PHILLIPS - Physical Therapist License in Indiana | # 070009672

ANDREA MARIE PHILLIPS

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009672

License Status

NOT RENEWED

Business

N

First Name

ANDREA MARIE

Last Name

PHILLIPS

Business Name

ANDREA MARIE PHILLIPS

Original Issue Date

10/04/1996

Effective Date

10/04/1996

Expiration Date

09/30/2002

State

IN

Ever Disciplined

N

LastModifiedDate

10/17/2005