ANITA G HACKER - Physical Therapist License in Indiana | # 160000867

ANITA G HACKER

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000867

License Status

NOT RENEWED

Business

N

First Name

ANITA G

Last Name

HACKER

Business Name

ANITA G HACKER

Original Issue Date

11/02/1991

Effective Date

08/09/2017

Expiration Date

09/30/2019

State

IN

Ever Disciplined

N

LastModifiedDate

01/13/2020