LESA ANNE DEJONG - Physical Therapist License in Indiana | # 160006192

LESA ANNE DEJONG

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006192

License Status

NOT RENEWED

Business

N

First Name

LESA

Middle

ANNE

Last Name

DEJONG

Business Name

LESA ANNE DEJONG

Original Issue Date

10/04/2012

Effective Date

07/15/2013

Expiration Date

09/30/2015

State

IN

Ever Disciplined

N

LastModifiedDate

11/03/2015