DOUGLAS SCOTT PITTMAN Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011392

License Status

INACTIVE

Business

First Name

DOUGLAS

Middle

SCOTT

Last Name

PITTMAN

Business Name

DOUGLAS SCOTT PITTMAN

Original Issue Date

07/22/1999

Effective Date

07/22/1999

Expiration Date

09/30/2002

City

CEDAR RAPIDS

State

Zip

52404

County

IOWA

Ever Disciplined

LastModifiedDate

10/17/2005