MARY ANNE DYKSTRA Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001069

License Status

INACTIVE

Business

First Name

MARY ANNE

Last Name

DYKSTRA

Business Name

MARY ANNE DYKSTRA

Original Issue Date

01/01/1998

Expiration Date

09/30/1984

City

FOREST PARK

State

Zip

45240

County

OHIO

Ever Disciplined

LastModifiedDate

10/14/2005