MANDI K SUSSEX-UPHOLD Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003977

License Status

NOT RENEWED

Business

First Name

MANDI

Middle

Last Name

SUSSEX-UPHOLD

Business Name

MANDI K SUSSEX-UPHOLD

Original Issue Date

12/20/2001

Effective Date

12/20/2001

Expiration Date

09/30/2005

City

DAVENPORT

State

Zip

52802

County

IOWA

Ever Disciplined

LastModifiedDate

10/17/2005