MARCIA I MINK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002320

License Status

NOT RENEWED

Business

First Name

MARCIA I

Last Name

MINK

Business Name

MARCIA I MINK

Original Issue Date

10/07/1995

Effective Date

10/07/1995

Expiration Date

09/30/1999

City

DARIEN

State

Zip

53114

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/14/2005