TERRANCE JAMES DONNELLY Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002053

License Status

INACTIVE

Business

First Name

TERRANCE JAMES

Last Name

DONNELLY

Business Name

TERRANCE JAMES DONNELLY

Original Issue Date

12/22/1975

Effective Date

12/22/1975

Expiration Date

09/30/1984

City

MADISON

State

Zip

53705

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/14/2005