SUSAN MARIE PETTER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002349

License Status

NOT RENEWED

Business

First Name

SUSAN MARIE

Last Name

PETTER

Business Name

SUSAN MARIE PETTER

Original Issue Date

01/11/1977

Effective Date

08/12/2016

Expiration Date

09/30/2018

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

12/05/2018