SAVANNAH GEAN AXLEY - Physical Therapist License in Indiana | # 160004789

SAVANNAH GEAN AXLEY

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004789

License Status

NOT RENEWED

Business

N

First Name

SAVANNAH

Middle

GEAN

Last Name

AXLEY

Business Name

SAVANNAH GEAN AXLEY

Original Issue Date

08/03/2007

Effective Date

08/03/2007

Expiration Date

09/30/2009

State

IN

Ever Disciplined

N

LastModifiedDate

11/04/2009