SUSAN T BOLAND - Physical Therapist License in Wisconsin | # 070004245

SUSAN T BOLAND

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004245

License Status

NOT RENEWED

Business

N

First Name

SUSAN T

Last Name

BOLAND

Business Name

SUSAN T BOLAND

Original Issue Date

07/02/1984

Effective Date

07/02/1984

Expiration Date

09/30/1988

State

WI

Ever Disciplined

N

LastModifiedDate

10/14/2005