TERA M DYBUL Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001698

License Status

INACTIVE

Business

First Name

TERA M

Last Name

DYBUL

Business Name

TERA M DYBUL

Original Issue Date

05/13/1993

Effective Date

05/13/1993

Expiration Date

09/30/2003

City

HARTFORD

State

Zip

53027

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005