PETRA SIJPKES Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004762

License Status

NOT RENEWED

Business

First Name

PETRA

Last Name

SIJPKES

Business Name

PETRA SIJPKES

Original Issue Date

04/16/1986

Effective Date

04/16/1986

Expiration Date

09/30/1990

City

CENTRALIA

State

Zip

62801

County

KENDALL

Ever Disciplined

LastModifiedDate

10/14/2005