DEENA C MUNTZ Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011511

License Status

NOT RENEWED

Business

First Name

DEENA

Middle

Last Name

MUNTZ

Business Name

DEENA C MUNTZ

Original Issue Date

09/28/1999

Effective Date

09/28/1999

Expiration Date

09/30/2004

City

WEST ALLIS

State

Zip

53214

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005