VICKI A RUSSELL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005026

License Status

NOT RENEWED

Business

First Name

VICKI

Middle

Last Name

RUSSELL

Business Name

VICKI A RUSSELL

Original Issue Date

08/22/2008

Effective Date

09/23/2019

Expiration Date

01/31/2022

City

DYER

State

Zip

46311

County

INDIANA

Ever Disciplined

LastModifiedDate

05/19/2022