KATIE J BOUDREAU Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006489

License Status

INACTIVE

Business

First Name

KATIE

Middle

Last Name

BOUDREAU

Business Name

KATIE J BOUDREAU

Original Issue Date

08/06/2013

Effective Date

07/29/2015

Expiration Date

09/30/2017

City

PHOENIX

State

Zip

85032

County

ARIZONA

Ever Disciplined

LastModifiedDate

07/07/2017