SUSAN R INGRAM Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003878

License Status

ACTIVE

Business

First Name

SUSAN

Middle

Last Name

INGRAM

Business Name

SUSAN R INGRAM

Original Issue Date

08/28/2001

Effective Date

08/10/2025

Expiration Date

09/30/2027

City

FARINA

State

Zip

62838

County

CLAY

Ever Disciplined

LastModifiedDate

08/10/2025