SALLY J LANGE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002763

License Status

NOT RENEWED

Business

First Name

SALLY J

Last Name

LANGE

Business Name

SALLY J LANGE

Original Issue Date

08/27/1997

Effective Date

08/27/1997

Expiration Date

09/30/2003

City

STEVENS POINT

State

Zip

54481

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005