TRICIA DAWN DEFFENDOLL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005978

License Status

NOT RENEWED

Business

First Name

TRICIA

Middle

DAWN

Last Name

DEFFENDOLL

Business Name

TRICIA DAWN DEFFENDOLL

Original Issue Date

03/29/2012

Effective Date

03/29/2012

Expiration Date

09/30/2013

City

NEWBURGH

State

Zip

47630

County

INDIANA

Ever Disciplined

LastModifiedDate

11/12/2013