BRIAN CARL PETERSON - Physical Therapist License in Minnesota | # 160005966

BRIAN CARL PETERSON

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005966

License Status

NOT RENEWED

Business

N

First Name

BRIAN

Middle

CARL

Last Name

PETERSON

Business Name

BRIAN CARL PETERSON

Original Issue Date

03/12/2012

Effective Date

03/12/2012

Expiration Date

09/30/2013

State

MN

Ever Disciplined

N

LastModifiedDate

11/12/2013