DEBRA S ANDERSON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004192

License Status

NOT RENEWED

Business

First Name

DEBRA S

Last Name

ANDERSON

Business Name

DEBRA S ANDERSON

Original Issue Date

05/08/1984

Effective Date

09/28/2020

Expiration Date

09/30/2022

City

EDELSTEIN

State

Zip

61526

County

PEORIA

Ever Disciplined

LastModifiedDate

11/28/2022