BRIAN A TEGTMEYER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005522

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

Last Name

TEGTMEYER

Business Name

BRIAN A TEGTMEYER

Original Issue Date

08/26/2010

Effective Date

09/22/2015

Expiration Date

09/30/2017

City

FOX LAKE

State

Zip

53933

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/01/2017