JULIE L BANNING Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070016015

License Status

NOT RENEWED

Business

First Name

JULIE

Middle

Last Name

BANNING

Business Name

JULIE L BANNING

BusinessDBA

JULIE L. BUNDERMAN

Original Issue Date

09/13/2007

Effective Date

08/23/2010

Expiration Date

09/30/2012

City

PLEASANT PRAIRIE

State

Zip

53158

County

WISCONSIN

Ever Disciplined

LastModifiedDate

01/16/2013