SUSAN E TAX Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009460

License Status

INACTIVE

Business

First Name

SUSAN E

Last Name

TAX

Business Name

SUSAN E TAX

Original Issue Date

04/29/1996

Effective Date

04/29/1996

Expiration Date

09/30/1998

City

CLAWSON

State

Zip

48017

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/14/2005