JULIA MARY DIETERLE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001214

License Status

NOT RENEWED

Business

First Name

JULIA

Middle

MARY

Last Name

DIETERLE

Business Name

JULIA MARY DIETERLE

Original Issue Date

01/01/1998

Expiration Date

09/30/2004

City

MADISON

State

Zip

53705

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005