MARY E CLEGG Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001776

License Status

NOT RENEWED

Business

First Name

MARY E

Last Name

CLEGG

Business Name

MARY E CLEGG

Original Issue Date

09/27/1993

Effective Date

09/27/1993

Expiration Date

09/30/2003

City

INDIANAPOLIS

State

Zip

46254

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005