MARK FREDRICK GOODRICH Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070007864

License Status

INACTIVE

Business

First Name

MARK

Middle

FREDRICK

Last Name

GOODRICH

Business Name

MARK FREDRICK GOODRICH

Original Issue Date

10/20/1993

Effective Date

10/20/1993

Expiration Date

09/30/1998

City

VINCENNES

State

Zip

47591

County

INDIANA

Ever Disciplined

LastModifiedDate

10/14/2005