ILENE L LARSON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001694

License Status

NOT RENEWED

Business

First Name

ILENE L

Last Name

LARSON

Business Name

ILENE L LARSON

Original Issue Date

05/23/1973

Effective Date

10/01/2006

Expiration Date

09/30/2008

City

MADISON

State

Zip

53713

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/06/2008