ELIZABETH A DE VRIES Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001381

License Status

INACTIVE

Business

First Name

ELIZABETH A

Last Name

DE VRIES

Business Name

ELIZABETH A DE VRIES

Original Issue Date

01/23/1992

Effective Date

01/23/1992

Expiration Date

09/30/1997

City

RANDOLPH

State

Zip

53956

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/14/2005