ANNIKA BRITT RUSSO Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012117

License Status

INACTIVE

Business

First Name

ANNIKA

Middle

BRITT

Last Name

RUSSO

Business Name

ANNIKA BRITT RUSSO

Original Issue Date

09/19/2000

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

DUBLIN

State

Zip

43016

County

OHIO

Ever Disciplined

LastModifiedDate

07/13/2006