MARNI JOAN WILLERT Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001974

License Status

NOT RENEWED

Business

First Name

MARNI JOAN

Last Name

WILLERT

Business Name

MARNI JOAN WILLERT

Original Issue Date

12/22/1974

Effective Date

12/22/1974

City

ELKHART

State

Zip

46514

County

INDIANA

Ever Disciplined

LastModifiedDate

10/14/2005