ROSE M TACKETT - Physical Therapist License in Indiana | # 160001690

ROSE M TACKETT

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001690

License Status

INACTIVE

Business

N

First Name

ROSE M

Last Name

TACKETT

Business Name

ROSE M TACKETT

Original Issue Date

04/23/1993

Effective Date

04/23/1993

Expiration Date

09/30/1999

State

IN

Ever Disciplined

N

LastModifiedDate

10/14/2005