KATHLEEN K MENGEL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070005600

License Status

NOT RENEWED

Business

First Name

KATHLEEN K

Last Name

MENGEL

Business Name

KATHLEEN K MENGEL

Original Issue Date

12/31/1988

Effective Date

10/01/2012

Expiration Date

09/30/2014

City

EAST TROY

State

Zip

53120

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/17/2014