JENNIFER R BURBAGE Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011812

License Status

INACTIVE

Business

First Name

JENNIFER

Middle

Last Name

BURBAGE

Business Name

JENNIFER R BURBAGE

Original Issue Date

03/15/2000

Effective Date

03/15/2000

Expiration Date

09/30/2004

City

SCHERERVILLE

State

Zip

46375

County

INDIANA

Ever Disciplined

LastModifiedDate

09/01/2006