MARY E PHELAN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009908

License Status

NOT RENEWED

Business

First Name

MARY E

Last Name

PHELAN

Business Name

MARY E PHELAN

Original Issue Date

01/09/1997

Effective Date

01/09/1997

Expiration Date

09/30/2004

City

MUNSTER

State

Zip

46321

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005