MANDI K SUSSEX-UPHOLD - Physical Therapist License in Iowa | # 160003977

MANDI K SUSSEX-UPHOLD

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003977

License Status

NOT RENEWED

Business

N

First Name

MANDI

Middle

K

Last Name

SUSSEX-UPHOLD

Business Name

MANDI K SUSSEX-UPHOLD

Original Issue Date

12/20/2001

Effective Date

12/20/2001

Expiration Date

09/30/2005

State

IA

Ever Disciplined

N

LastModifiedDate

10/17/2005