CAROL L FUELLEMAN Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001567

License Status

INACTIVE

Business

First Name

CAROL L

Last Name

FUELLEMAN

Business Name

CAROL L FUELLEMAN

Original Issue Date

10/13/1992

Effective Date

10/13/1992

Expiration Date

09/30/1997

City

JANESVILLE

State

Zip

53545

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/14/2005