KENNETH RYAN PETERSEN DPT Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070028919

License Status

ACTIVE

Business

Title

DPT

First Name

KENNETH

Middle

RYAN

Last Name

PETERSEN

Business Name

KENNETH RYAN PETERSEN DPT

Original Issue Date

02/20/2025

Effective Date

02/20/2025

Expiration Date

09/30/2026

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

02/20/2025