DEANNA L AXTELL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004367

License Status

NOT RENEWED

Business

First Name

DEANNA

Middle

Last Name

AXTELL

Business Name

DEANNA L AXTELL

Original Issue Date

11/09/2004

Effective Date

10/02/2017

Expiration Date

09/30/2019

City

DAVENPORT

State

Zip

52804

County

IOWA

Ever Disciplined

LastModifiedDate

01/13/2020