GWENDOLYN K NEITZEL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002079

License Status

NOT RENEWED

Business

First Name

GWENDOLYN K

Last Name

NEITZEL

Business Name

GWENDOLYN K NEITZEL

Original Issue Date

01/16/1976

Effective Date

01/16/1976

Expiration Date

09/30/1986

City

HIGHLAND

State

Zip

62249

County

MADISON

Ever Disciplined

LastModifiedDate

10/14/2005