MATTHEW JON GEYSO Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006783

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

JON

Last Name

GEYSO

Business Name

MATTHEW JON GEYSO

Original Issue Date

07/21/2014

Effective Date

07/21/2014

Expiration Date

09/30/2015

City

BURLINGTON

State

Zip

53105

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/03/2015