MITCHELL S RUIZ Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004965

License Status

NOT RENEWED

Business

First Name

MITCHELL

Middle

Last Name

RUIZ

Business Name

MITCHELL S RUIZ

Original Issue Date

04/09/2008

Effective Date

09/23/2019

Expiration Date

01/31/2022

City

LAKE GENEVA

State

Zip

53147

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/19/2022