INGRID A PETRILLA Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070006354

License Status

INACTIVE

Business

First Name

INGRID A

Last Name

PETRILLA

Business Name

INGRID A PETRILLA

Original Issue Date

01/18/1991

Effective Date

01/18/1991

Expiration Date

09/30/1996

City

MILWAUKEE

State

Zip

53225

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/14/2005