ANGELA L KLISZ Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013810

License Status

NOT RENEWED

Business

First Name

ANGELA

Middle

Last Name

KLISZ

Business Name

ANGELA L KLISZ

Original Issue Date

02/27/2004

Effective Date

10/01/2018

Expiration Date

09/30/2020

City

PEWAUKEE

State

Zip

53072

County

WISCONSIN

Ever Disciplined

LastModifiedDate

01/14/2021