JOANN PETERSON GARY Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011864

License Status

INACTIVE

Business

First Name

JOANN

Middle

PETERSON

Last Name

GARY

Business Name

JOANN PETERSON GARY

Original Issue Date

04/03/2000

Effective Date

04/03/2000

Expiration Date

09/30/2002

City

WEST LAFAYETTE

State

Zip

47906

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005