AMY B FLOCK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003324

License Status

NOT RENEWED

Business

First Name

AMY

Middle

Last Name

FLOCK

Business Name

AMY B FLOCK

Original Issue Date

03/16/1999

Effective Date

03/16/1999

Expiration Date

09/30/2003

City

WATERFORD

State

Zip

53185

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005