GEORGIA L NIEDERECKER Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000272

License Status

INACTIVE

Business

First Name

GEORGIA L

Last Name

NIEDERECKER

Business Name

GEORGIA L NIEDERECKER

Original Issue Date

07/25/1991

Effective Date

07/25/1991

Expiration Date

09/30/1993

City

WATERLOO

State

Zip

62298

County

MONROE

Ever Disciplined

LastModifiedDate

10/14/2005