DEANNA M NORDWALD Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005612

License Status

NOT RENEWED

Business

First Name

DEANNA

Middle

Last Name

NORDWALD

Business Name

DEANNA M NORDWALD

Original Issue Date

11/30/2010

Effective Date

07/21/2011

Expiration Date

09/30/2013

City

SAVANNA

State

Zip

61074

County

CARROLL

Ever Disciplined

LastModifiedDate

11/12/2013