CRYSTAL A WETHERHOLT - Physical Therapist License in Indiana | # 160000398

CRYSTAL A WETHERHOLT

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000398

License Status

NOT RENEWED

Business

N

First Name

CRYSTAL A

Last Name

WETHERHOLT

Business Name

CRYSTAL A WETHERHOLT

Original Issue Date

08/08/1991

Effective Date

03/17/2008

Expiration Date

09/30/2009

State

IN

Ever Disciplined

N

LastModifiedDate

11/04/2009