MARY BUTZ Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001816

License Status

INACTIVE

Business

First Name

MARY

Last Name

BUTZ

Business Name

MARY BUTZ

Original Issue Date

05/06/1974

Effective Date

05/06/1974

Expiration Date

09/30/1990

City

RAPID CITY

State

Zip

57701

County

SOUTH DAKOTA

Ever Disciplined

LastModifiedDate

10/14/2005