KIMBERLY ANN NOWAK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013715

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

ANN

Last Name

NOWAK

Business Name

KIMBERLY ANN NOWAK

Original Issue Date

11/18/2003

Effective Date

09/24/2012

Expiration Date

09/30/2014

City

FRANKLIN

State

Zip

53132

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/17/2014