ELIZABETH A MASON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011826

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

Last Name

MASON

Business Name

ELIZABETH A MASON

Original Issue Date

03/20/2000

Effective Date

09/29/2008

Expiration Date

09/30/2010

City

FOND DU LAC

State

Zip

54935

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/08/2010