HEIDI A PETERSEN Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001539

License Status

INACTIVE

Business

First Name

HEIDI A

Last Name

PETERSEN

Business Name

HEIDI A PETERSEN

Original Issue Date

09/29/1992

Effective Date

09/29/1992

Expiration Date

09/30/1997

City

KISSIMMEE

State

Zip

34744

County

FLORIDA

Ever Disciplined

LastModifiedDate

10/14/2005