ANDREA KIRSTEN LAUDERDALE - Physical Therapist License in Michigan | # 070020620

ANDREA KIRSTEN LAUDERDALE

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070020620

License Status

NOT RENEWED

Business

N

First Name

ANDREA

Middle

KIRSTEN

Last Name

LAUDERDALE

Business Name

ANDREA KIRSTEN LAUDERDALE

Original Issue Date

04/15/2014

Effective Date

09/17/2020

Expiration Date

09/30/2022

State

MI

Ever Disciplined

N

LastModifiedDate

11/28/2022