BRIAN CARL PETERSON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005966

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

CARL

Last Name

PETERSON

Business Name

BRIAN CARL PETERSON

Original Issue Date

03/12/2012

Effective Date

03/12/2012

Expiration Date

09/30/2013

City

ALBERTVILLE

State

Zip

55301

County

MINNESOTA

Ever Disciplined

LastModifiedDate

11/12/2013