CHARLENE K SIEPEL Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004812

License Status

INACTIVE

Business

First Name

CHARLENE K

Last Name

SIEPEL

Business Name

CHARLENE K SIEPEL

Original Issue Date

06/12/1986

Effective Date

08/20/2012

Expiration Date

09/30/2014

City

PLYMOUTH

State

Zip

62367

County

HANCOCK

Ever Disciplined

LastModifiedDate

07/03/2014