HELEN F CROCKETT Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004549

License Status

INACTIVE

Business

First Name

HELEN F

Last Name

CROCKETT

Business Name

HELEN F CROCKETT

Original Issue Date

08/16/1985

Effective Date

08/16/1985

Expiration Date

09/30/1992

City

TERRE HAUTE

State

Zip

47803

County

INDIANA

Ever Disciplined

LastModifiedDate

10/14/2005