TINA L MENTCH Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001661

License Status

NOT RENEWED

Business

First Name

TINA L

Last Name

MENTCH

Business Name

TINA L MENTCH

Original Issue Date

02/03/1993

Effective Date

02/03/1993

Expiration Date

09/30/1997

City

WAUKESHA

State

Zip

53188

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/14/2005