KATIE J PETERSON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012751

License Status

NOT RENEWED

Business

First Name

KATIE

Middle

Last Name

PETERSON

Business Name

KATIE J PETERSON

Original Issue Date

11/21/2001

Effective Date

08/05/2016

Expiration Date

09/30/2018

City

PHOENIX

State

Zip

85040

County

ARIZONA

Ever Disciplined

LastModifiedDate

12/05/2018