KATY L WISEMAN - Physical Therapist License in Missouri | # 070012982

KATY L WISEMAN

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012982

License Status

NOT RENEWED

Business

N

First Name

KATY

Middle

L

Last Name

WISEMAN

Business Name

KATY L WISEMAN

Original Issue Date

04/01/2002

Effective Date

04/01/2002

Expiration Date

09/30/2004

State

MO

Ever Disciplined

N

LastModifiedDate

10/17/2005