TERESITA AIMEE J TAN - Physical Therapist License in Wisconsin | # 070008553

TERESITA AIMEE J TAN

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070008553

License Status

INACTIVE

Business

N

First Name

TERESITA AIMEE J

Last Name

TAN

Business Name

TERESITA AIMEE J TAN

Original Issue Date

01/18/1995

Effective Date

01/18/1995

Expiration Date

09/30/1996

State

WI

Ever Disciplined

N

LastModifiedDate

10/14/2005