BETH MARIE GUNDRUM - Physical Therapist License in Wisconsin | # 070018455

BETH MARIE GUNDRUM

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070018455

License Status

INACTIVE

Business

N

First Name

BETH

Middle

MARIE

Last Name

GUNDRUM

Business Name

BETH MARIE GUNDRUM

Original Issue Date

06/22/2011

Effective Date

09/28/2012

Expiration Date

09/30/2014

State

WI

Ever Disciplined

N

LastModifiedDate

07/03/2014