JENNIFER NICOLE WIRT Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070018741

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

NICOLE

Last Name

WIRT

Business Name

JENNIFER NICOLE WIRT

Original Issue Date

09/06/2011

Effective Date

09/06/2011

Expiration Date

09/30/2012

City

TULSA

State

Zip

74133

County

OKLAHOMA

Ever Disciplined

LastModifiedDate

01/16/2013