MAGGI C CROCKETT Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160007483

License Status

ACTIVE

Business

First Name

MAGGI

Middle

Last Name

CROCKETT

Business Name

MAGGI C CROCKETT

Original Issue Date

05/12/2016

Effective Date

11/04/2025

Expiration Date

09/30/2027

City

HIGHLAND

State

Zip

46322

Ever Disciplined

LastModifiedDate

11/04/2025