DEBRA A PICKETT Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002193

License Status

NOT RENEWED

Business

First Name

DEBRA A

Last Name

PICKETT

Business Name

DEBRA A PICKETT

Original Issue Date

07/29/1995

Effective Date

07/29/1995

Expiration Date

09/30/2005

City

MENASHA

State

Zip

54952

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005