KRISTINA G MAIN Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004751

License Status

INACTIVE

Business

First Name

KRISTINA G

Last Name

MAIN

Business Name

KRISTINA G MAIN

Original Issue Date

03/06/1986

Effective Date

03/06/1986

Expiration Date

09/30/1986

City

WAUWATOSA

State

Zip

53213

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/14/2005