JENNIE CHRISTINE LARSON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070018935

License Status

NOT RENEWED

Business

First Name

JENNIE

Middle

CHRISTINE

Last Name

LARSON

Business Name

JENNIE CHRISTINE LARSON

Original Issue Date

01/30/2012

Effective Date

08/29/2012

Expiration Date

09/30/2014

City

CARLYLE

State

Zip

62231

County

CLINTON

Ever Disciplined

LastModifiedDate

11/17/2014