JENNIFER G EVANS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070019587

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

EVANS

Business Name

JENNIFER G EVANS

Original Issue Date

11/15/2012

Effective Date

09/17/2014

Expiration Date

09/30/2016

City

INDIANAPOLIS

State

Zip

46260

County

INDIANA

Ever Disciplined

LastModifiedDate

11/26/2016