NANCY D ANDERSON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002095

License Status

NOT RENEWED

Business

First Name

NANCY D

Last Name

ANDERSON

Business Name

NANCY D ANDERSON

Original Issue Date

01/16/1976

Effective Date

09/28/2020

Expiration Date

09/30/2022

City

BRISTOL

State

Zip

53104

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/28/2022