ANDREA MARIE PHILLIPS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009672

License Status

NOT RENEWED

Business

First Name

ANDREA MARIE

Last Name

PHILLIPS

Business Name

ANDREA MARIE PHILLIPS

Original Issue Date

10/04/1996

Effective Date

10/04/1996

Expiration Date

09/30/2002

City

INDIANAPOLIS

State

Zip

46235

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005