JACQUELINE EDMON - Physical Therapist License in Indiana | # 160005915

JACQUELINE EDMON

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005915

License Status

NOT RENEWED

Business

N

First Name

JACQUELINE

Last Name

EDMON

Business Name

JACQUELINE EDMON

Original Issue Date

12/20/2011

Effective Date

09/30/2023

Expiration Date

09/30/2025

State

IN

Ever Disciplined

N

LastModifiedDate

12/30/2025