SCOTT E WISE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001891

License Status

NOT RENEWED

Business

First Name

SCOTT E

Last Name

WISE

Business Name

SCOTT E WISE

Original Issue Date

04/14/1994

Effective Date

09/30/2005

Expiration Date

09/30/2007

City

STONEFORT

State

Zip

62987

County

POPE

Ever Disciplined

LastModifiedDate

03/25/2008