RATANA ITO Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070006312

License Status

INACTIVE

Business

First Name

RATANA

Last Name

ITO

Business Name

RATANA ITO

Original Issue Date

01/04/1991

Effective Date

01/04/1991

Expiration Date

09/30/2004

City

INDIANAPOLIS

State

Zip

46280

County

INDIANA

Ever Disciplined

LastModifiedDate

09/01/2006