JAYNE ELLEN BARSIC Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011237

License Status

INACTIVE

Business

First Name

JAYNE

Middle

ELLEN

Last Name

BARSIC

Business Name

JAYNE ELLEN BARSIC

Original Issue Date

04/06/1999

Effective Date

08/23/2010

Expiration Date

09/30/2012

City

CROWN POINT

State

Zip

46307

County

INDIANA

Ever Disciplined

LastModifiedDate

07/05/2012