JASON SCOTT VOLSTAD Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003459

License Status

NOT RENEWED

Business

First Name

JASON

Middle

SCOTT

Last Name

VOLSTAD

Business Name

JASON SCOTT VOLSTAD

Original Issue Date

10/19/1999

Effective Date

10/19/1999

Expiration Date

09/30/2001

City

BURLINGTON

State

Zip

53105

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005