MARY ANN ENERSON Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003120

License Status

INACTIVE

Business

First Name

MARY ANN

Last Name

ENERSON

Business Name

MARY ANN ENERSON

Original Issue Date

12/24/1979

Effective Date

12/24/1979

Expiration Date

09/30/1984

City

WISCONSIN RAPIDS

State

Zip

54494

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/14/2005