KIRSTEN AMANDA VON ZYCHLIN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070019434

License Status

NOT RENEWED

Business

First Name

KIRSTEN

Middle

AMANDA

Last Name

VON ZYCHLIN

Business Name

KIRSTEN AMANDA VON ZYCHLIN

Original Issue Date

08/21/2012

Effective Date

08/21/2012

Expiration Date

09/30/2014

City

APPLETON

State

Zip

54913

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/17/2014