C AMY HIRATA Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070006707

License Status

INACTIVE

Business

First Name

C AMY

Last Name

HIRATA

Business Name

C AMY HIRATA

Original Issue Date

12/20/1991

Effective Date

12/20/1991

Expiration Date

09/30/2000

City

MADISON

State

Zip

53704

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005