DOUGLAS ANDREW LONGMORE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070018917

License Status

NOT RENEWED

Business

First Name

DOUGLAS

Middle

ANDREW

Last Name

LONGMORE

Business Name

DOUGLAS ANDREW LONGMORE

Original Issue Date

01/03/2012

Effective Date

08/27/2014

Expiration Date

09/30/2016

City

MADISON

State

Zip

53705

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/26/2016