SALLY BERTELSEN HANNEMAN Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002455

License Status

INACTIVE

Business

First Name

SALLY BERTELSEN

Last Name

HANNEMAN

Business Name

SALLY BERTELSEN HANNEMAN

Original Issue Date

12/30/1977

Effective Date

12/30/1977

Expiration Date

09/30/1990

City

MADISON

State

Zip

37115

County

TENNESSEE

Ever Disciplined

LastModifiedDate

10/14/2005