TRACY C GROVER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004270

License Status

NOT RENEWED

Business

First Name

TRACY

Middle

Last Name

GROVER

Business Name

TRACY C GROVER

Original Issue Date

02/09/2004

Effective Date

02/09/2004

Expiration Date

09/30/2005

City

JANESVILLE

State

Zip

53548

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005