HEATHER K ISHAM Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009977

License Status

INACTIVE

Business

First Name

HEATHER K

Last Name

ISHAM

Business Name

HEATHER K ISHAM

Original Issue Date

02/11/1997

Effective Date

02/11/1997

Expiration Date

09/30/2000

City

OSHKOSH

State

Zip

54901

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005