KAREN KALLSTROM MARTIN Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013326

License Status

INACTIVE

Business

First Name

KAREN

Middle

KALLSTROM

Last Name

MARTIN

Business Name

KAREN KALLSTROM MARTIN

Original Issue Date

12/06/2002

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

VICKSBURG

State

Zip

39180

County

WARREN

Ever Disciplined

LastModifiedDate

07/20/2007