CHRISTINE ADRIENE FISH Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004424

License Status

NOT RENEWED

Business

First Name

CHRISTINE

Middle

ADRIENE

Last Name

FISH

Business Name

CHRISTINE ADRIENE FISH

Original Issue Date

04/19/2005

Effective Date

08/25/2009

Expiration Date

09/30/2011

City

BETTENDORF

State

Zip

52722

County

IOWA

Ever Disciplined

LastModifiedDate

11/04/2011