JAMIE M ISTWAN - Physical Therapist License in Wisconsin | # 070009614

JAMIE M ISTWAN

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009614

License Status

NOT RENEWED

Business

N

First Name

JAMIE M

Last Name

ISTWAN

Business Name

JAMIE M ISTWAN

Original Issue Date

09/17/1996

Effective Date

09/17/1996

Expiration Date

09/30/1998

State

WI

Ever Disciplined

N

LastModifiedDate

10/14/2005