SUSAN M ANTRIM Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005856

License Status

ACTIVE

Business

First Name

SUSAN

Middle

Last Name

ANTRIM

Business Name

SUSAN M ANTRIM

Original Issue Date

10/28/2011

Effective Date

09/02/2025

Expiration Date

09/30/2027

City

VALPARAISO

State

Zip

46383

Ever Disciplined

LastModifiedDate

09/02/2025