VICKIE KAYE ERICSON Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002841

License Status

INACTIVE

Business

First Name

VICKIE KAYE

Last Name

ERICSON

Business Name

VICKIE KAYE ERICSON

Original Issue Date

12/18/1978

Effective Date

12/18/1978

Expiration Date

09/30/1988

City

WAUWATOSA

State

Zip

53213

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/14/2005