KATHERINE L ERICSON - Physical Therapist License in Wisconsin | # 160003283

KATHERINE L ERICSON

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003283

License Status

NOT RENEWED

Business

N

First Name

KATHERINE

Middle

L

Last Name

ERICSON

Business Name

KATHERINE L ERICSON

Original Issue Date

01/15/1999

Effective Date

01/15/1999

Expiration Date

09/30/2001

State

WI

Ever Disciplined

N

LastModifiedDate

10/17/2005