KIMBERLY J WHALEN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017843

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

WHALEN

Business Name

KIMBERLY J WHALEN

Original Issue Date

07/07/2010

Effective Date

10/15/2012

Expiration Date

09/30/2014

City

KENOSHA

State

Zip

53142

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/17/2014