TRACI M GOTZ Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013257

License Status

NOT RENEWED

Business

First Name

TRACI

Middle

Last Name

GOTZ

Business Name

TRACI M GOTZ

Original Issue Date

10/17/2002

Effective Date

09/28/2020

Expiration Date

09/30/2022

City

KENOSHA

State

Zip

53143

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/28/2022