SALLY BERTELSEN HANNEMAN - Physical Therapist License in Tennessee | # 070002455

SALLY BERTELSEN HANNEMAN

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002455

License Status

INACTIVE

Business

N

First Name

SALLY BERTELSEN

Last Name

HANNEMAN

Business Name

SALLY BERTELSEN HANNEMAN

Original Issue Date

12/30/1977

Effective Date

12/30/1977

Expiration Date

09/30/1990

State

TN

Ever Disciplined

N

LastModifiedDate

10/14/2005