ALICE P UDAL - Physical Therapist License in Indiana | # 070014239

ALICE P UDAL

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014239

License Status

NOT RENEWED

Business

N

First Name

ALICE

Middle

P

Last Name

UDAL

Business Name

ALICE P UDAL

Original Issue Date

12/03/2004

Effective Date

12/03/2004

Expiration Date

09/30/2006

State

IN

Ever Disciplined

N

LastModifiedDate

11/08/2006