CARRIE LYNE MATHIESEN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003094

License Status

NOT RENEWED

Business

First Name

CARRIE LYNE

Last Name

MATHIESEN

Business Name

CARRIE LYNE MATHIESEN

Original Issue Date

09/22/1998

Effective Date

08/18/2011

Expiration Date

09/30/2013

City

COLORADO SPRINGS

State

Zip

80924

County

COLORADO

Ever Disciplined

LastModifiedDate

11/12/2013