KAYLA M PETERSON Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160008410

License Status

INACTIVE

Business

First Name

KAYLA

Middle

Last Name

PETERSON

Business Name

KAYLA M PETERSON

Original Issue Date

10/25/2018

Effective Date

12/25/2021

Expiration Date

09/30/2023

City

FENNIMORE

State

Zip

53809

Ever Disciplined

LastModifiedDate

12/25/2021