CAROL J POLVERINI Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070005393

License Status

INACTIVE

Business

First Name

CAROL J

Last Name

POLVERINI

Business Name

CAROL J POLVERINI

Original Issue Date

03/08/1988

Effective Date

03/08/1988

Expiration Date

09/30/2000

City

FALCON HEIGHTS

State

Zip

55108

County

MINNESOTA

Ever Disciplined

LastModifiedDate

10/17/2005