MARK D. BOUWMEESTER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070025908

License Status

NOT RENEWED

Business

First Name

MARK

Middle

Last Name

BOUWMEESTER

Business Name

MARK D. BOUWMEESTER

Original Issue Date

05/28/2021

Effective Date

05/28/2021

Expiration Date

09/30/2022

City

MILWAUKEE

State

Zip

53203

Ever Disciplined

LastModifiedDate

11/28/2022