ANNA M MANSFIELD Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005493

License Status

NOT RENEWED

Business

First Name

ANNA

Middle

Last Name

MANSFIELD

Business Name

ANNA M MANSFIELD

Original Issue Date

08/09/2010

Effective Date

09/25/2017

Expiration Date

09/30/2019

City

ROODHOUSE

State

Zip

62082

County

GREENE

Ever Disciplined

LastModifiedDate

01/13/2020