NANCY L FUGATE Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004314

License Status

INACTIVE

Business

First Name

NANCY L

Last Name

FUGATE

Business Name

NANCY L FUGATE

Original Issue Date

12/17/1984

Effective Date

09/18/2018

Expiration Date

09/30/2020

City

DE PERE

State

Zip

54115

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/27/2020