ANITA G HACKER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000867

License Status

NOT RENEWED

Business

First Name

ANITA G

Last Name

HACKER

Business Name

ANITA G HACKER

Original Issue Date

11/02/1991

Effective Date

08/09/2017

Expiration Date

09/30/2019

City

VINCENNES

State

Zip

47591

County

INDIANA

Ever Disciplined

LastModifiedDate

01/13/2020