LAURIE L CHAMBERLAIN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002925

License Status

NOT RENEWED

Business

First Name

LAURIE L

Last Name

CHAMBERLAIN

Business Name

LAURIE L CHAMBERLAIN

Original Issue Date

01/12/1998

Effective Date

01/12/1998

Expiration Date

09/30/2001

City

CHESTERTON

State

Zip

46304

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005