JEAN M CARLSON Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014031

License Status

INACTIVE

Business

First Name

JEAN

Middle

Last Name

CARLSON

Business Name

JEAN M CARLSON

Original Issue Date

07/27/2004

Effective Date

10/06/2011

Expiration Date

09/30/2012

City

SCHERERVILLE

State

Zip

46375

County

INDIANA

Ever Disciplined

LastModifiedDate

07/05/2012