SUSAN D MADISON Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004503

License Status

INACTIVE

Business

First Name

SUSAN D

Last Name

MADISON

Business Name

SUSAN D MADISON

Original Issue Date

05/16/1985

Effective Date

05/16/1985

Expiration Date

09/30/1988

City

GREAT FALLS

State

Zip

59404

County

MONTANA

Ever Disciplined

LastModifiedDate

10/14/2005