KRISTINA MARIE RUSSELL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017204

License Status

NOT RENEWED

Business

First Name

KRISTINA

Middle

MARIE

Last Name

RUSSELL

Business Name

KRISTINA MARIE RUSSELL

Original Issue Date

07/13/2009

Effective Date

07/13/2009

Expiration Date

09/30/2010

City

COLUMBUS

State

Zip

53925

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/08/2010