DAWN R FOSS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070005557

License Status

NOT RENEWED

Business

First Name

DAWN R

Last Name

FOSS

Business Name

DAWN R FOSS

Original Issue Date

12/31/1988

Effective Date

12/31/1988

Expiration Date

09/30/1996

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/14/2005