SAMANTHA RENEE FETT Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005256

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

RENEE

Last Name

FETT

Business Name

SAMANTHA RENEE FETT

Original Issue Date

08/18/2009

Effective Date

08/18/2009

Expiration Date

09/30/2011

City

MONTROSE

State

Zip

52639

County

IOWA

Ever Disciplined

LastModifiedDate

11/04/2011