TODD G GOLDBECK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011769

License Status

NOT RENEWED

Business

First Name

TODD

Middle

Last Name

GOLDBECK

Business Name

TODD G GOLDBECK

Original Issue Date

02/29/2000

Effective Date

02/29/2000

Expiration Date

09/30/2004

City

STOUGHTON

State

Zip

53589

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005