MICHAEL W ANDERSEN Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001644

License Status

INACTIVE

Business

First Name

MICHAEL W

Last Name

ANDERSEN

Business Name

MICHAEL W ANDERSEN

Original Issue Date

01/20/1993

Effective Date

01/20/1993

Expiration Date

09/30/2003

City

GLENDALE HEIGHTS

State

Zip

60139

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005