LAURA J ANDERSON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001810

License Status

NOT RENEWED

Business

First Name

LAURA J

Last Name

ANDERSON

Business Name

LAURA J ANDERSON

Original Issue Date

10/06/1993

Effective Date

07/07/2017

Expiration Date

09/30/2019

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

01/13/2020