ANDREA L LONG Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011175

License Status

INACTIVE

Business

First Name

ANDREA

Middle

Last Name

LONG

Business Name

ANDREA L LONG

Original Issue Date

03/09/1999

Effective Date

03/09/1999

Expiration Date

09/30/2002

City

CEDAR RAPIDS

State

Zip

52405

County

IOWA

Ever Disciplined

LastModifiedDate

10/17/2005