TERRY L PLOMEDAHL - Physical Therapist License in Wisconsin | # 070002877

TERRY L PLOMEDAHL

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002877

License Status

INACTIVE

Business

N

First Name

TERRY L

Last Name

PLOMEDAHL

Business Name

TERRY L PLOMEDAHL

Original Issue Date

04/20/1979

Effective Date

08/27/2012

Expiration Date

09/30/2014

State

WI

Ever Disciplined

N

LastModifiedDate

07/03/2014