DONNA M KOUBA Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000647

License Status

INACTIVE

Business

First Name

DONNA M

Last Name

KOUBA

Business Name

DONNA M KOUBA

Original Issue Date

10/03/1991

Effective Date

07/29/2015

Expiration Date

09/30/2017

City

STRATFORD

State

Zip

54484

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/07/2017