MARK A ANDERSON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070008865

License Status

NOT RENEWED

Business

First Name

MARK A

Last Name

ANDERSON

Business Name

MARK A ANDERSON

Original Issue Date

06/06/1995

Effective Date

06/06/1995

Expiration Date

09/30/1996

City

SALT LAKE CITY

State

Zip

84121

County

UTAH

Ever Disciplined

LastModifiedDate

10/14/2005