SAVANNAH GEAN AXLEY Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004789

License Status

NOT RENEWED

Business

First Name

SAVANNAH

Middle

GEAN

Last Name

AXLEY

Business Name

SAVANNAH GEAN AXLEY

Original Issue Date

08/03/2007

Effective Date

08/03/2007

Expiration Date

09/30/2009

City

MOUNT VERNON

State

Zip

47620

County

INDIANA

Ever Disciplined

LastModifiedDate

11/04/2009