JULIE M FUGATE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004947

License Status

NOT RENEWED

Business

First Name

JULIE M

Last Name

FUGATE

Business Name

JULIE M FUGATE

Original Issue Date

01/10/1987

Effective Date

01/10/1987

Expiration Date

09/30/2004

City

BRISTOL

State

Zip

53104

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005