JAMES D PETERSEN Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070000676

License Status

INACTIVE

Business

First Name

JAMES D

Last Name

PETERSEN

Business Name

JAMES D PETERSEN

Original Issue Date

01/01/1998

Expiration Date

09/30/1986

City

CUBA

State

Zip

61427

County

FULTON

Ever Disciplined

LastModifiedDate

10/14/2005