BREANNA J CARLSON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005257

License Status

NOT RENEWED

Business

First Name

BREANNA

Middle

Last Name

CARLSON

Business Name

BREANNA J CARLSON

Original Issue Date

08/18/2009

Effective Date

07/04/2019

Expiration Date

01/31/2022

City

MINNEAPOLIS

State

Zip

55405

County

MINNESOTA

Ever Disciplined

LastModifiedDate

05/19/2022