ETHAN P SUMMERS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160007232

License Status

NOT RENEWED

Business

First Name

ETHAN

Middle

Last Name

SUMMERS

Business Name

ETHAN P SUMMERS

Original Issue Date

08/04/2015

Effective Date

10/02/2017

Expiration Date

09/30/2019

City

HAMILTON

State

Zip

62341

County

HANCOCK

Ever Disciplined

LastModifiedDate

01/13/2020