DOUGLAS J ANDERSON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000632

License Status

NOT RENEWED

Business

First Name

DOUGLAS J

Last Name

ANDERSON

Business Name

DOUGLAS J ANDERSON

Original Issue Date

10/03/1991

Effective Date

10/03/1991

Expiration Date

09/30/1993

City

MANCHESTER

State

Zip

03102

County

NEW HAMPSHIRE

Ever Disciplined

LastModifiedDate

10/14/2005

Case Number

1992001521

Action

Suspension

Discipline Start Date

06/23/1994

Discipline Reason

Disciplined in New Hampshire.