MARK ALLAN LORENZO - Physical Therapist License in Wisconsin | # 070013393

MARK ALLAN LORENZO

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013393

License Status

NOT RENEWED

Business

N

First Name

MARK

Middle

ALLAN

Last Name

LORENZO

Business Name

MARK ALLAN LORENZO

Original Issue Date

03/06/2003

Effective Date

03/06/2003

Expiration Date

09/30/2004

State

WI

Ever Disciplined

N

LastModifiedDate

10/17/2005