SARA S LIST Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009770

License Status

NOT RENEWED

Business

First Name

SARA

Middle

Last Name

LIST

Business Name

SARA S LIST

Original Issue Date

11/02/1996

Effective Date

03/23/2011

Expiration Date

09/30/2012

City

KENOSHA

State

Zip

53142

County

WISCONSIN

Ever Disciplined

LastModifiedDate

01/16/2013