KRISTIN MARIE FIELDS - Physical Therapist License in Wisconsin | # 070009604

KRISTIN MARIE FIELDS

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009604

License Status

NOT RENEWED

Business

N

First Name

KRISTIN MARIE

Last Name

FIELDS

Business Name

KRISTIN MARIE FIELDS

Original Issue Date

09/16/1996

Effective Date

09/16/1996

Expiration Date

09/30/2004

State

WI

Ever Disciplined

N

LastModifiedDate

10/17/2005