TERRA R DUELLMAN Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011248

License Status

INACTIVE

Business

First Name

TERRA

Middle

Last Name

DUELLMAN

Business Name

TERRA R DUELLMAN

Original Issue Date

04/13/1999

Effective Date

08/29/2008

Expiration Date

09/30/2010

City

WISCONSIN RAPIDS

State

Zip

54494

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/08/2010