TRACY LEE CAMPBELL Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014010

License Status

INACTIVE

Business

First Name

TRACY

Middle

LEE

Last Name

CAMPBELL

Business Name

TRACY LEE CAMPBELL

Original Issue Date

07/15/2004

Effective Date

09/14/2020

Expiration Date

09/30/2022

City

VALPARAISO

State

Zip

46385

County

INDIANA

Ever Disciplined

LastModifiedDate

09/29/2022