MALLISA M SCHMANKE Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005319

License Status

INACTIVE

Business

First Name

MALLISA

Middle

Last Name

SCHMANKE

Business Name

MALLISA M SCHMANKE

Original Issue Date

10/19/2009

Effective Date

09/23/2015

Expiration Date

09/30/2017

City

HUNTSVILLE

State

Zip

35824

County

MADISON

Ever Disciplined

LastModifiedDate

07/07/2017