JAMIE M ISTWAN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009614

License Status

NOT RENEWED

Business

First Name

JAMIE M

Last Name

ISTWAN

Business Name

JAMIE M ISTWAN

Original Issue Date

09/17/1996

Effective Date

09/17/1996

Expiration Date

09/30/1998

City

FOX POINT

State

Zip

53217

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/14/2005