JILL M BUCK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004329

License Status

NOT RENEWED

Business

First Name

JILL M

Last Name

BUCK

Business Name

JILL M BUCK

Original Issue Date

12/28/1984

Effective Date

12/28/1984

Expiration Date

09/30/1998

City

ONALASKA

State

Zip

54650

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/14/2005