CARSON WAYNE KLINETOB Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070000298

License Status

INACTIVE

Business

First Name

CARSON WAYNE

Last Name

KLINETOB

Business Name

CARSON WAYNE KLINETOB

Original Issue Date

01/01/1998

Expiration Date

09/30/1986

City

ANTIGO

State

Zip

54409

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/14/2005