JASON WILLIAM PEDERSEN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070025042

License Status

NOT RENEWED

Business

First Name

JASON

Middle

WILLIAM

Last Name

PEDERSEN

Business Name

JASON WILLIAM PEDERSEN

Original Issue Date

03/17/2020

Effective Date

03/17/2020

Expiration Date

09/30/2020

City

BROKEN BOW

State

Zip

68822

County

NEBRASKA

Ever Disciplined

LastModifiedDate

01/14/2021