MARIA ROSARIO MENDOZA GUTIERREZ Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011560

License Status

NOT RENEWED

Business

First Name

MARIA ROSARIO

Middle

MENDOZA

Last Name

GUTIERREZ

Business Name

MARIA ROSARIO MENDOZA GUTIERREZ

Original Issue Date

11/01/1999

Effective Date

11/01/1999

Expiration Date

09/30/2000

City

BROOKFIELD

State

Zip

53005

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005