JAMES S KILDAHL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006653

License Status

NOT RENEWED

Business

First Name

JAMES

Middle

Last Name

KILDAHL

Business Name

JAMES S KILDAHL

Original Issue Date

11/20/2013

Effective Date

11/20/2013

Expiration Date

09/30/2015

City

ELKHORN

State

Zip

53121

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/03/2015