AUDRA KATE GERKIN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004065

License Status

NOT RENEWED

Business

First Name

AUDRA

Middle

KATE

Last Name

GERKIN

Business Name

AUDRA KATE GERKIN

Original Issue Date

08/15/2002

Effective Date

08/15/2002

Expiration Date

09/30/2003

City

PRINCETON

State

Zip

47670

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005