KATHRYNE A DIEDRICH - Physical Therapist License in Wisconsin | # 160004643

KATHRYNE A DIEDRICH

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004643

License Status

NOT RENEWED

Business

N

First Name

KATHRYNE

Middle

A

Last Name

DIEDRICH

Business Name

KATHRYNE A DIEDRICH

BusinessDBA

KOHLMAN

Original Issue Date

09/12/2006

Effective Date

09/14/2009

Expiration Date

09/30/2011

State

WI

Ever Disciplined

N

LastModifiedDate

11/04/2011