PETER CARL STAFFORD - Physical Therapist License in Indiana | # 070013510

PETER CARL STAFFORD

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013510

License Status

INACTIVE

Business

N

First Name

PETER

Middle

CARL

Last Name

STAFFORD

Business Name

PETER CARL STAFFORD

Original Issue Date

05/08/2003

Effective Date

05/08/2003

Expiration Date

09/30/2004

State

IN

Ever Disciplined

N

LastModifiedDate

09/01/2006