MARY L DAUSMAN Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070010424

License Status

ACTIVE

Business

First Name

MARY L

Last Name

DAUSMAN

Business Name

MARY L DAUSMAN

Original Issue Date

01/12/1998

Effective Date

07/09/2024

Expiration Date

09/30/2026

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/09/2024