DOUGLAS ANDREW LONGMORE - Physical Therapist License in Wisconsin | # 070018917

DOUGLAS ANDREW LONGMORE

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070018917

License Status

NOT RENEWED

Business

N

First Name

DOUGLAS

Middle

ANDREW

Last Name

LONGMORE

Business Name

DOUGLAS ANDREW LONGMORE

Original Issue Date

01/03/2012

Effective Date

08/27/2014

Expiration Date

09/30/2016

State

WI

Ever Disciplined

N

LastModifiedDate

11/26/2016