DENNIS L HOME Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014400

License Status

NOT RENEWED

Business

First Name

DENNIS

Middle

Last Name

HOME

Business Name

DENNIS L HOME

Original Issue Date

04/14/2005

Effective Date

09/14/2016

Expiration Date

09/30/2018

City

MILTON

State

Zip

53563

County

WISCONSIN

Ever Disciplined

LastModifiedDate

12/05/2018