JENITA P GOODWIN - Physical Therapist License in Indiana | # 160002886

JENITA P GOODWIN

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002886

License Status

NOT RENEWED

Business

N

First Name

JENITA P

Last Name

GOODWIN

Business Name

JENITA P GOODWIN

Original Issue Date

11/17/1997

Effective Date

11/17/1997

Expiration Date

09/30/1999

State

IN

Ever Disciplined

N

LastModifiedDate

10/14/2005