TERESE E BERTAGNOLI Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001788

License Status

NOT RENEWED

Business

First Name

TERESE E

Last Name

BERTAGNOLI

Business Name

TERESE E BERTAGNOLI

Original Issue Date

09/27/1993

Effective Date

09/25/2017

Expiration Date

09/30/2019

City

JANESVILLE

State

Zip

53546

County

WISCONSIN

Ever Disciplined

LastModifiedDate

01/13/2020