VICKI A RUSSELL - Physical Therapist License in Indiana | # 160005026

VICKI A RUSSELL

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005026

License Status

NOT RENEWED

Business

N

First Name

VICKI

Middle

A

Last Name

RUSSELL

Business Name

VICKI A RUSSELL

Original Issue Date

08/22/2008

Effective Date

09/23/2019

Expiration Date

01/31/2022

State

IN

Ever Disciplined

N

LastModifiedDate

05/19/2022