ANDREA J JANTSON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009205

License Status

NOT RENEWED

Business

First Name

ANDREA J

Last Name

JANTSON

Business Name

ANDREA J JANTSON

Original Issue Date

01/02/1996

Effective Date

01/02/1996

Expiration Date

09/30/1996

City

FORT WAYNE

State

Zip

46804

County

INDIANA

Ever Disciplined

LastModifiedDate

10/14/2005