KELLY JO PETERSEN Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070039722

License Status

ACTIVE

Business

First Name

KELLY

Middle

Last Name

PETERSEN

Business Name

KELLY JO PETERSEN

Original Issue Date

03/07/2026

Effective Date

03/07/2026

Expiration Date

09/30/2026

City

OCONOMOWOC

State

Zip

53066

Ever Disciplined

LastModifiedDate

03/07/2026