AMY E PLAGENZ Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002099

License Status

NOT RENEWED

Business

First Name

AMY E

Last Name

PLAGENZ

Business Name

AMY E PLAGENZ

Original Issue Date

01/18/1995

Effective Date

01/18/1995

Expiration Date

09/30/1999

City

FORT ATKINSON

State

Zip

53538

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/14/2005