EMILY A WEIDENBACH - Physical Therapist License in Wisconsin | # 070012064

EMILY A WEIDENBACH

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012064

License Status

NOT RENEWED

Business

N

First Name

EMILY

Middle

A

Last Name

WEIDENBACH

Business Name

EMILY A WEIDENBACH

Original Issue Date

08/25/2000

Effective Date

08/25/2000

Expiration Date

09/30/2004

State

WI

Ever Disciplined

N

LastModifiedDate

10/17/2005