ANNETTA JOY WISE Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006329

License Status

INACTIVE

Business

First Name

ANNETTA

Middle

JOY

Last Name

WISE

Business Name

ANNETTA JOY WISE

Original Issue Date

01/11/2013

Effective Date

12/03/2021

Expiration Date

09/30/2023

City

MERRILLVILLE

State

Zip

46410

County

INDIANA

Ever Disciplined

LastModifiedDate

06/28/2023