KIMBERLY A BOSWORTH Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011558

License Status

INACTIVE

Business

First Name

KIMBERLY

Middle

Last Name

BOSWORTH

Business Name

KIMBERLY A BOSWORTH

Original Issue Date

11/01/1999

Effective Date

11/01/1999

Expiration Date

09/30/2000

City

FRANKLIN

State

Zip

53132

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005