SUSAN J REYNOSO Physical Therapist License verification

Business Entity

EXPIRED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001620

License Status

EXPIRED

Business

First Name

SUSAN

Middle

Last Name

REYNOSO

Business Name

SUSAN J REYNOSO

Original Issue Date

12/16/1992

Effective Date

12/16/1992

Expiration Date

09/30/2003

City

UNION GROVE

State

Zip

53182

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005