MARYELLEN MORIARTY - Physical Therapist License in Wisconsin | # 070002120

MARYELLEN MORIARTY

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002120

License Status

NOT RENEWED

Business

N

First Name

MARYELLEN

Last Name

MORIARTY

Business Name

MARYELLEN MORIARTY

Original Issue Date

01/16/1976

Effective Date

01/16/1976

State

WI

Ever Disciplined

N

LastModifiedDate

10/14/2005