CAROL MIRIAM STOUDT - Physical Therapist License in Wisconsin | # 070000417

CAROL MIRIAM STOUDT

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070000417

License Status

INACTIVE

Business

N

First Name

CAROL MIRIAM

Last Name

STOUDT

Business Name

CAROL MIRIAM STOUDT

Original Issue Date

01/01/1998

Expiration Date

09/30/1984

State

WI

Ever Disciplined

N

LastModifiedDate

10/14/2005