MICHELLE R PETERSON Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070007105

License Status

ACTIVE

Business

First Name

MICHELLE

Middle

Last Name

PETERSON

Business Name

MICHELLE R PETERSON

Original Issue Date

09/25/1992

Effective Date

08/26/2024

Expiration Date

09/30/2026

City

MORRIS

State

Zip

60450

County

GRUNDY

Ever Disciplined

LastModifiedDate

08/26/2024