IAN PATRICK ANDERSEN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160008599

License Status

NOT RENEWED

Business

First Name

IAN

Middle

PATRICK

Last Name

ANDERSEN

Business Name

IAN PATRICK ANDERSEN

Original Issue Date

06/22/2019

Effective Date

07/31/2019

Expiration Date

01/31/2022

City

GALLATIN

State

Zip

37066

Ever Disciplined

LastModifiedDate

05/19/2022