MARY SUSAN WALTERS Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003734

License Status

INACTIVE

Business

First Name

MARY SUSAN

Last Name

WALTERS

Business Name

MARY SUSAN WALTERS

Original Issue Date

08/25/1982

Effective Date

08/25/1982

Expiration Date

09/30/1986

City

DEFOREST

State

Zip

53532

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/14/2005