MARY BETH PRUITT - Physical Therapist License in Wisconsin | # 070005429

MARY BETH PRUITT

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070005429

License Status

INACTIVE

Business

N

First Name

MARY BETH

Last Name

PRUITT

Business Name

MARY BETH PRUITT

Original Issue Date

03/16/1988

Effective Date

03/16/1988

Expiration Date

09/30/1990

State

WI

Ever Disciplined

N

LastModifiedDate

10/14/2005