MARK ALLAN LORENZO Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013393

License Status

NOT RENEWED

Business

First Name

MARK

Middle

ALLAN

Last Name

LORENZO

Business Name

MARK ALLAN LORENZO

Original Issue Date

03/06/2003

Effective Date

03/06/2003

Expiration Date

09/30/2004

City

MEDFORD

State

Zip

54451

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005