AMY B FLOCK - Physical Therapist License in Wisconsin | # 160003324

AMY B FLOCK

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003324

License Status

NOT RENEWED

Business

N

First Name

AMY

Middle

B

Last Name

FLOCK

Business Name

AMY B FLOCK

Original Issue Date

03/16/1999

Effective Date

03/16/1999

Expiration Date

09/30/2003

State

WI

Ever Disciplined

N

LastModifiedDate

10/17/2005