MARY D DUBACH Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002543

License Status

INACTIVE

Business

First Name

MARY D

Last Name

DUBACH

Business Name

MARY D DUBACH

Original Issue Date

11/02/1996

Effective Date

11/02/1996

Expiration Date

09/30/2001

City

CHESTERTON

State

Zip

46304

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005