KATY L WISEMAN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012982

License Status

NOT RENEWED

Business

First Name

KATY

Middle

Last Name

WISEMAN

Business Name

KATY L WISEMAN

Original Issue Date

04/01/2002

Effective Date

04/01/2002

Expiration Date

09/30/2004

City

HANNIBAL

State

Zip

63401

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/17/2005