GLENN ALAN PETERSON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005997

License Status

NOT RENEWED

Business

First Name

GLENN

Middle

ALAN

Last Name

PETERSON

Business Name

GLENN ALAN PETERSON

Original Issue Date

05/17/2012

Effective Date

05/17/2012

Expiration Date

09/30/2013

City

WAYNE

State

Zip

07470

County

NEW JERSEY

Ever Disciplined

LastModifiedDate

11/12/2013