INGRID A PETRILLA - Physical Therapist License in Wisconsin | # 070006354

INGRID A PETRILLA

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070006354

License Status

INACTIVE

Business

N

First Name

INGRID A

Last Name

PETRILLA

Business Name

INGRID A PETRILLA

Original Issue Date

01/18/1991

Effective Date

01/18/1991

Expiration Date

09/30/1996

State

WI

Ever Disciplined

N

LastModifiedDate

10/14/2005