The holder whose full name is PETERSEN, ANNETTE LOUISE,come from PEORIA IL,hold the Phys Ther Assistant license(NO.06000297A) which status is Expired.
| Name | PETERSEN, ANNETTE LOUISE |
|---|---|
| License Number | 06000297A |
| License Type | Phys Ther Assistant |
| License Status | Expired |
| City | PEORIA |
| State | IL |