MICHELLE LYNN MAXFIELD Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011426

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

LYNN

Last Name

MAXFIELD

Business Name

MICHELLE LYNN MAXFIELD

Original Issue Date

08/18/1999

Effective Date

08/18/1999

Expiration Date

09/30/2004

City

FRANKLIN

State

Zip

53132

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005