SUZANNE ANDERSON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070006148

License Status

NOT RENEWED

Business

First Name

SUZANNE

Last Name

ANDERSON

Business Name

SUZANNE ANDERSON

Original Issue Date

01/29/1991

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

GLEN CARBON

State

Zip

62034

County

MADISON

Ever Disciplined

LastModifiedDate

07/23/2007