RAE ANN QUIDGEON Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002684

License Status

INACTIVE

Business

First Name

RAE ANN

Last Name

QUIDGEON

Business Name

RAE ANN QUIDGEON

Original Issue Date

04/01/1997

Effective Date

07/05/2007

Expiration Date

09/30/2009

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

07/09/2009