MARIBETH BEACH Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000549

License Status

NOT RENEWED

Business

First Name

MARIBETH

Last Name

BEACH

Business Name

MARIBETH BEACH

Original Issue Date

09/13/1991

Effective Date

09/23/2019

Expiration Date

01/31/2022

City

FORT BRANCH

State

Zip

47648

County

INDIANA

Ever Disciplined

LastModifiedDate

05/19/2022