TRACI L LUNDEEN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002896

License Status

NOT RENEWED

Business

First Name

TRACI L

Last Name

LUNDEEN

Business Name

TRACI L LUNDEEN

Original Issue Date

01/13/1998

Effective Date

01/13/1998

Expiration Date

09/30/1999

City

CANTON

State

Zip

61520

County

FULTON

Ever Disciplined

LastModifiedDate

10/14/2005