KIM M PRESTANGEN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160008803

License Status

NOT RENEWED

Business

First Name

KIM

Middle

Last Name

PRESTANGEN

Business Name

KIM M PRESTANGEN

Original Issue Date

10/28/2019

Effective Date

09/17/2021

Expiration Date

09/30/2023

City

SPRING GREEN

State

Zip

53588

Ever Disciplined

LastModifiedDate

02/02/2024