KRISTIN ELISE PETERSON Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014144

License Status

INACTIVE

Business

First Name

KRISTIN

Middle

ELISE

Last Name

PETERSON

Business Name

KRISTIN ELISE PETERSON

Original Issue Date

09/13/2004

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

07/13/2006