JEAN M CARLSON - Physical Therapist License in Indiana | # 070014031

JEAN M CARLSON

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014031

License Status

INACTIVE

Business

N

First Name

JEAN

Middle

M

Last Name

CARLSON

Business Name

JEAN M CARLSON

Original Issue Date

07/27/2004

Effective Date

10/06/2011

Expiration Date

09/30/2012

State

IN

Ever Disciplined

N

LastModifiedDate

07/05/2012