MIKEALYNN M ANDERSON - Physical Therapist License in Wisconsin | # 160001765

MIKEALYNN M ANDERSON

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001765

License Status

NOT RENEWED

Business

N

First Name

MIKEALYNN M

Last Name

ANDERSON

Business Name

MIKEALYNN M ANDERSON

Original Issue Date

09/18/1993

Effective Date

09/18/1993

Expiration Date

09/30/2005

State

WI

Ever Disciplined

N

LastModifiedDate

10/17/2005