KIMBERLY ANN LARSON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004520

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

ANN

Last Name

LARSON

Business Name

KIMBERLY ANN LARSON

Original Issue Date

12/07/2005

Effective Date

09/30/2019

Expiration Date

01/31/2022

City

DAVENPORT

State

Zip

52807

County

SCOTT

Ever Disciplined

LastModifiedDate

05/19/2022