MITCHEL A WOLTERSDORF Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001975

License Status

INACTIVE

Business

First Name

MITCHEL A

Last Name

WOLTERSDORF

Business Name

MITCHEL A WOLTERSDORF

Original Issue Date

12/22/1974

Effective Date

12/22/1974

Expiration Date

09/30/1984

City

CANBY

State

Zip

97013

County

OREGON

Ever Disciplined

LastModifiedDate

10/14/2005