SANDRA PETTIFORD Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001737

License Status

INACTIVE

Business

First Name

SANDRA

Last Name

PETTIFORD

Business Name

SANDRA PETTIFORD

Original Issue Date

10/03/1973

Effective Date

09/24/2014

Expiration Date

09/30/2016

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

07/06/2016