ANGELA MARIE GUIST Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070019630

License Status

NOT RENEWED

Business

First Name

ANGELA

Middle

MARIE

Last Name

GUIST

Business Name

ANGELA MARIE GUIST

Original Issue Date

11/30/2012

Effective Date

07/15/2014

Expiration Date

09/30/2016

City

VIROQUA

State

Zip

54665

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/26/2016