ANDREA KIRSTEN LAUDERDALE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070020620

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

KIRSTEN

Last Name

LAUDERDALE

Business Name

ANDREA KIRSTEN LAUDERDALE

Original Issue Date

04/15/2014

Effective Date

09/17/2020

Expiration Date

09/30/2022

City

SALINE

State

Zip

48176

Ever Disciplined

LastModifiedDate

11/28/2022