SUSAN L FARLEY PT Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012149

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

FARLEY

Suffix

Business Name

SUSAN L FARLEY PT

Original Issue Date

10/10/2000

Effective Date

09/08/2008

Expiration Date

09/30/2010

City

LAKE GENEVA

State

Zip

53147

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/08/2010