MARY BETH PRUITT Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070005429

License Status

INACTIVE

Business

First Name

MARY BETH

Last Name

PRUITT

Business Name

MARY BETH PRUITT

Original Issue Date

03/16/1988

Effective Date

03/16/1988

Expiration Date

09/30/1990

City

MILWAUKEE

State

Zip

53208

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/14/2005