MISTI L FERGUSON Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013897

License Status

ACTIVE

Business

First Name

MISTI

Middle

Last Name

FERGUSON

Business Name

MISTI L FERGUSON

Original Issue Date

05/19/2004

Effective Date

08/08/2024

Expiration Date

09/30/2026

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

08/08/2024