ELAINE MARTIN Physical Therapist License verification

ELAINE MARTIN

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004611

License Status

NOT RENEWED

Business

First Name

ELAINE

Last Name

MARTIN

Business Name

ELAINE MARTIN

Original Issue Date

08/15/2006

Effective Date

09/05/2013

Expiration Date

09/30/2015

City

KENOSHA

State

Zip

53142

County

WISCONSIN

Ever Disciplined

LastModifiedDate

02/25/2016

Case Number

2014010988

Action

Refuse To Renew

Discipline Start Date

02/11/2016

Discipline Reason

as a result of sister-state discipline action involving impairment issues related to drug and/or substance abuse resulting in permanent surrender of her Wisconsin physical therapist assistant license.