TAMRA V GATES-JACKSON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003798

License Status

NOT RENEWED

Business

First Name

TAMRA

Middle

Last Name

GATES-JACKSON

Business Name

TAMRA V GATES-JACKSON

Original Issue Date

02/07/2001

Effective Date

02/07/2001

Expiration Date

09/30/2005

City

MERRILLVILLE

State

Zip

46410

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005