BETH L ANDERSON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004779

License Status

NOT RENEWED

Business

First Name

BETH L

Last Name

ANDERSON

Business Name

BETH L ANDERSON

Original Issue Date

06/12/1986

Effective Date

06/12/1986

Expiration Date

09/30/1988

City

GODFREY

State

Zip

62035

County

MADISON

Ever Disciplined

LastModifiedDate

10/14/2005