KRISTINA L PETERSEN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017070

License Status

NOT RENEWED

Business

First Name

KRISTINA

Middle

Last Name

PETERSEN

Business Name

KRISTINA L PETERSEN

Original Issue Date

04/29/2009

Effective Date

04/29/2009

Expiration Date

09/30/2010

City

SAINT CHARLES

State

Zip

48655

County

MICHIGAN

Ever Disciplined

LastModifiedDate

11/08/2010