CARRIE LYNE MATHIESEN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070020366

License Status

NOT RENEWED

Business

First Name

CARRIE LYNE

Last Name

MATHIESEN

Business Name

CARRIE LYNE MATHIESEN

Original Issue Date

10/16/2013

Effective Date

09/28/2020

Expiration Date

09/30/2022

City

COLORADO SPRINGS

State

Zip

80924

County

COLORADO

Ever Disciplined

LastModifiedDate

11/28/2022