PETER CARL STAFFORD Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013510

License Status

INACTIVE

Business

First Name

PETER

Middle

CARL

Last Name

STAFFORD

Business Name

PETER CARL STAFFORD

Original Issue Date

05/08/2003

Effective Date

05/08/2003

Expiration Date

09/30/2004

City

CROWN POINT

State

Zip

46307

County

INDIANA

Ever Disciplined

LastModifiedDate

09/01/2006