LISA C PETERSON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004514

License Status

NOT RENEWED

Business

First Name

LISA C

Last Name

PETERSON

Business Name

LISA C PETERSON

Original Issue Date

05/16/1985

Effective Date

05/16/1985

Expiration Date

09/30/2002

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005