IVORY TEODORO FOX Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011350

License Status

NOT RENEWED

Business

First Name

IVORY

Middle

TEODORO

Last Name

FOX

Business Name

IVORY TEODORO FOX

Original Issue Date

06/01/1999

Effective Date

06/01/1999

Expiration Date

09/30/2002

City

HIGHLAND

State

Zip

46322

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005