CAROL J FELDEWERTH Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001976

License Status

NOT RENEWED

Business

First Name

CAROL J

Last Name

FELDEWERTH

Business Name

CAROL J FELDEWERTH

Original Issue Date

09/15/1994

Effective Date

07/24/2017

Expiration Date

09/30/2019

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

01/13/2020