DEANNA K WISOWATY Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070018596

License Status

NOT RENEWED

Business

First Name

DEANNA

Middle

Last Name

WISOWATY

Business Name

DEANNA K WISOWATY

Original Issue Date

07/14/2011

Effective Date

08/20/2022

Expiration Date

09/30/2024

City

VALPARAISO

State

Zip

46385

County

LAKE

Ever Disciplined

LastModifiedDate

02/27/2025