RUTH PROCTOR LACEY Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070000350

License Status

INACTIVE

Business

First Name

RUTH PROCTOR

Last Name

LACEY

Business Name

RUTH PROCTOR LACEY

Original Issue Date

01/01/1998

Expiration Date

09/30/1984

City

INDIANAPOLIS

State

Zip

46240

County

INDIANA

Ever Disciplined

LastModifiedDate

10/14/2005