LUIS G KORTLANG Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003262

License Status

INACTIVE

Business

First Name

LUIS

Middle

Last Name

KORTLANG

Business Name

LUIS G KORTLANG

Original Issue Date

01/05/1999

Effective Date

01/05/1999

Expiration Date

09/30/2005

City

RACINE

State

Zip

53405

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005