GLADYS CONDA CANADA Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013464

License Status

INACTIVE

Business

First Name

GLADYS

Middle

CONDA

Last Name

CANADA

Business Name

GLADYS CONDA CANADA

Original Issue Date

04/03/2003

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

INDIANAPOLIS

State

Zip

46234

Ever Disciplined

LastModifiedDate

07/13/2006