SUSAN D MADISON - Physical Therapist License in Montana | # 070004503

SUSAN D MADISON

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004503

License Status

INACTIVE

Business

N

First Name

SUSAN D

Last Name

MADISON

Business Name

SUSAN D MADISON

Original Issue Date

05/16/1985

Effective Date

05/16/1985

Expiration Date

09/30/1988

State

MT

Ever Disciplined

N

LastModifiedDate

10/14/2005