CAROL MIRIAM STOUDT Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070000417

License Status

INACTIVE

Business

First Name

CAROL MIRIAM

Last Name

STOUDT

Business Name

CAROL MIRIAM STOUDT

Original Issue Date

01/01/1998

Expiration Date

09/30/1984

City

MENOMONEE FALLS

State

Zip

53051

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/14/2005