ELLEN V PETERSON Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001345

License Status

INACTIVE

Business

First Name

ELLEN V

Last Name

PETERSON

Business Name

ELLEN V PETERSON

Original Issue Date

01/01/1998

Expiration Date

09/30/1994

City

DEWEY

State

Zip

86327

County

ARIZONA

Ever Disciplined

LastModifiedDate

10/14/2005