ROBIN G EISEN Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002239

License Status

INACTIVE

Business

First Name

ROBIN G

Last Name

EISEN

Business Name

ROBIN G EISEN

Original Issue Date

11/22/1976

Effective Date

09/28/2020

Expiration Date

09/30/2022

City

MICHIGAN CITY

State

Zip

46360

County

COOK

Ever Disciplined

LastModifiedDate

08/18/2022