JENNIFER NICOLE WIRT - Physical Therapist License in Oklahoma | # 070018741

JENNIFER NICOLE WIRT

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070018741

License Status

NOT RENEWED

Business

N

First Name

JENNIFER

Middle

NICOLE

Last Name

WIRT

Business Name

JENNIFER NICOLE WIRT

Original Issue Date

09/06/2011

Effective Date

09/06/2011

Expiration Date

09/30/2012

State

OK

Ever Disciplined

N

LastModifiedDate

01/16/2013