CHARLENE M DETERS - Physical Therapist License in Wisconsin | # 070005453

CHARLENE M DETERS

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070005453

License Status

NOT RENEWED

Business

N

First Name

CHARLENE M

Last Name

DETERS

Business Name

CHARLENE M DETERS

Original Issue Date

06/25/1988

Effective Date

06/25/1988

Expiration Date

09/30/1996

State

WI

Ever Disciplined

N

LastModifiedDate

10/14/2005