KATHLEEN BANISTE PERZ Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002547

License Status

INACTIVE

Business

First Name

KATHLEEN BANISTE

Last Name

PERZ

Business Name

KATHLEEN BANISTE PERZ

Original Issue Date

12/30/1977

Effective Date

07/26/2016

Expiration Date

09/30/2018

City

SALEM

State

Zip

53168

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/07/2018