STEPHANIE J MOUSSETTE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013221

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

Last Name

MOUSSETTE

Business Name

STEPHANIE J MOUSSETTE

Original Issue Date

09/19/2002

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

SUSSEX

State

Zip

53089

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/08/2006