VICKIE KAYE ERICSON - Physical Therapist License in Wisconsin | # 070002841

VICKIE KAYE ERICSON

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002841

License Status

INACTIVE

Business

N

First Name

VICKIE KAYE

Last Name

ERICSON

Business Name

VICKIE KAYE ERICSON

Original Issue Date

12/18/1978

Effective Date

12/18/1978

Expiration Date

09/30/1988

State

WI

Ever Disciplined

N

LastModifiedDate

10/14/2005