STEPHANIE M PETERSON Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005106

License Status

INACTIVE

Business

First Name

STEPHANIE

Middle

Last Name

PETERSON

Business Name

STEPHANIE M PETERSON

Original Issue Date

11/12/2008

Effective Date

10/01/2009

Expiration Date

09/30/2011

City

BETTENDORF

State

Zip

52722

County

IOWA

Ever Disciplined

LastModifiedDate

07/07/2011