MARIKA ELAINE ZANDSTRA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012289

License Status

NOT RENEWED

Business

First Name

MARIKA

Middle

ELAINE

Last Name

ZANDSTRA

Business Name

MARIKA ELAINE ZANDSTRA

Original Issue Date

01/12/2001

Effective Date

09/25/2012

Expiration Date

09/30/2014

City

MERRILLVILLE

State

Zip

46410

County

INDIANA

Ever Disciplined

LastModifiedDate

11/17/2014