MOLLY ANN WIESEN - Physical Therapist License in North Dakota | # 070018404

MOLLY ANN WIESEN

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070018404

License Status

NOT RENEWED

Business

N

First Name

MOLLY

Middle

ANN

Last Name

WIESEN

Business Name

MOLLY ANN WIESEN

Original Issue Date

05/24/2011

Effective Date

05/24/2011

Expiration Date

09/30/2012

State

ND

Ever Disciplined

N

LastModifiedDate

01/16/2013