SUSAN P EITEL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004207

License Status

NOT RENEWED

Business

First Name

SUSAN P

Last Name

EITEL

Business Name

SUSAN P EITEL

Original Issue Date

05/08/1984

Effective Date

05/08/1984

Expiration Date

09/30/2000

City

COLORADO SPRINGS

State

Zip

80917

County

COLORADO

Ever Disciplined

LastModifiedDate

10/17/2005