MARI R K THERRIEN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012411

License Status

NOT RENEWED

Business

First Name

MARI

Middle

R K

Last Name

THERRIEN

Business Name

MARI R K THERRIEN

Original Issue Date

03/30/2001

Effective Date

03/30/2001

Expiration Date

09/30/2002

City

LAKEWOOD

State

Zip

54138

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005