MARY E PHELAN - Physical Therapist License in Indiana | # 070009908

MARY E PHELAN

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009908

License Status

NOT RENEWED

Business

N

First Name

MARY E

Last Name

PHELAN

Business Name

MARY E PHELAN

Original Issue Date

01/09/1997

Effective Date

01/09/1997

Expiration Date

09/30/2004

State

IN

Ever Disciplined

N

LastModifiedDate

10/17/2005