CHARLES R EISELE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070005222

License Status

NOT RENEWED

Business

First Name

CHARLES R

Last Name

EISELE

Business Name

CHARLES R EISELE

Original Issue Date

12/12/1987

Effective Date

12/12/1987

Expiration Date

09/30/1996

City

GREENSBORO

State

Zip

30642

County

GEORGIA

Ever Disciplined

LastModifiedDate

10/14/2005