ANNE M COFFMAN Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009678

License Status

INACTIVE

Business

First Name

ANNE M

Last Name

COFFMAN

Business Name

ANNE M COFFMAN

Original Issue Date

10/24/1996

Effective Date

10/24/1996

Expiration Date

09/30/2002

City

NEW BERLIN

State

Zip

53151

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005