JODY T PETERSEN - Physical Therapist License in Illinois | # 070010352

JODY T PETERSEN

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070010352

License Status

NOT RENEWED

Business

N

First Name

JODY T

Last Name

PETERSEN

Business Name

JODY T PETERSEN

Original Issue Date

11/24/1997

Effective Date

09/16/2022

Expiration Date

09/30/2024

State

IL

Ever Disciplined

N

LastModifiedDate

02/27/2025