LUIS G KORTLANG - Physical Therapist License in Wisconsin | # 160003262

LUIS G KORTLANG

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003262

License Status

INACTIVE

Business

N

First Name

LUIS

Middle

G

Last Name

KORTLANG

Business Name

LUIS G KORTLANG

Original Issue Date

01/05/1999

Effective Date

01/05/1999

Expiration Date

09/30/2005

State

WI

Ever Disciplined

N

LastModifiedDate

10/17/2005