DENISE DIANE WILLARDSEN - Physical Therapist License in Wyoming | # 070011852

DENISE DIANE WILLARDSEN

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011852

License Status

NOT RENEWED

Business

N

First Name

DENISE

Middle

DIANE

Last Name

WILLARDSEN

Business Name

DENISE DIANE WILLARDSEN

Original Issue Date

03/27/2000

Effective Date

03/27/2000

Expiration Date

09/30/2002

State

WY

Ever Disciplined

N

LastModifiedDate

10/17/2005