VICKIE L COOPER Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001937

License Status

INACTIVE

Business

First Name

VICKIE L

Last Name

COOPER

Business Name

VICKIE L COOPER

Original Issue Date

09/07/1994

Effective Date

08/17/2015

Expiration Date

09/30/2017

City

HARTFORD

State

Zip

53027

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/07/2017