FAITH C MENTINK Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002045

License Status

INACTIVE

Business

First Name

FAITH C

Last Name

MENTINK

Business Name

FAITH C MENTINK

Original Issue Date

11/01/1994

Effective Date

11/01/1994

Expiration Date

09/30/2003

City

WALDO

State

Zip

53093

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005