TRISHA SUE KLOOS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160008025

License Status

NOT RENEWED

Business

First Name

TRISHA

Middle

SUE

Last Name

KLOOS

Business Name

TRISHA SUE KLOOS

Original Issue Date

09/21/2017

Effective Date

09/16/2019

Expiration Date

01/31/2022

City

JANESVILLE

State

Zip

53546

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/19/2022