TERRANCE JAMES DONNELLY - Physical Therapist License in Wisconsin | # 070002053

TERRANCE JAMES DONNELLY

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002053

License Status

INACTIVE

Business

N

First Name

TERRANCE JAMES

Last Name

DONNELLY

Business Name

TERRANCE JAMES DONNELLY

Original Issue Date

12/22/1975

Effective Date

12/22/1975

Expiration Date

09/30/1984

State

WI

Ever Disciplined

N

LastModifiedDate

10/14/2005