KRISTIN MARIE FIELDS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009604

License Status

NOT RENEWED

Business

First Name

KRISTIN MARIE

Last Name

FIELDS

Business Name

KRISTIN MARIE FIELDS

Original Issue Date

09/16/1996

Effective Date

09/16/1996

Expiration Date

09/30/2004

City

OAK CREEK

State

Zip

53154

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005