KIRSTEN WIDDER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070023995

License Status

NOT RENEWED

Business

First Name

KIRSTEN

Last Name

WIDDER

Business Name

KIRSTEN WIDDER

Original Issue Date

09/10/2018

Effective Date

09/10/2018

Expiration Date

09/30/2020

City

OKLAHOMA CITY

State

Zip

73142

Ever Disciplined

LastModifiedDate

01/14/2021