SUSAN E TAX - Physical Therapist License in Michigan | # 070009460

SUSAN E TAX

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009460

License Status

INACTIVE

Business

N

First Name

SUSAN E

Last Name

TAX

Business Name

SUSAN E TAX

Original Issue Date

04/29/1996

Effective Date

04/29/1996

Expiration Date

09/30/1998

State

MI

Ever Disciplined

N

LastModifiedDate

10/14/2005