CHARLES CLIFFORD HOLDER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001901

License Status

NOT RENEWED

Business

First Name

CHARLES CLIFFORD

Last Name

HOLDER

Business Name

CHARLES CLIFFORD HOLDER

Original Issue Date

11/15/1974

Effective Date

07/21/2010

Expiration Date

09/30/2012

City

BELOIT

State

Zip

53511

County

WISCONSIN

Ever Disciplined

LastModifiedDate

01/16/2013