TRICIA DAWN DEFFENDOLL - Physical Therapist License in Indiana | # 160005978

TRICIA DAWN DEFFENDOLL

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005978

License Status

NOT RENEWED

Business

N

First Name

TRICIA

Middle

DAWN

Last Name

DEFFENDOLL

Business Name

TRICIA DAWN DEFFENDOLL

Original Issue Date

03/29/2012

Effective Date

03/29/2012

Expiration Date

09/30/2013

State

IN

Ever Disciplined

N

LastModifiedDate

11/12/2013