CANDICE LYNN KOEPSEL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014222

License Status

NOT RENEWED

Business

First Name

CANDICE

Middle

LYNN

Last Name

KOEPSEL

Business Name

CANDICE LYNN KOEPSEL

Original Issue Date

11/19/2004

Effective Date

11/19/2004

Expiration Date

09/30/2006

City

SHOREWOOD

State

Zip

53211

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/27/2007