SARA S LIST - Physical Therapist License in Wisconsin | # 070009770

SARA S LIST

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009770

License Status

NOT RENEWED

Business

N

First Name

SARA

Middle

S

Last Name

LIST

Business Name

SARA S LIST

Original Issue Date

11/02/1996

Effective Date

03/23/2011

Expiration Date

09/30/2012

State

WI

Ever Disciplined

N

LastModifiedDate

01/16/2013