EMILY A WEIDENBACH Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012064

License Status

NOT RENEWED

Business

First Name

EMILY

Middle

Last Name

WEIDENBACH

Business Name

EMILY A WEIDENBACH

Original Issue Date

08/25/2000

Effective Date

08/25/2000

Expiration Date

09/30/2004

City

SHOREWOOD

State

Zip

53211

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005