ELEANOR G JORGENSON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070000171

License Status

NOT RENEWED

Business

First Name

ELEANOR G

Last Name

JORGENSON

Business Name

ELEANOR G JORGENSON

Original Issue Date

01/01/1998

City

RACINE

State

Zip

53405

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/14/2005