License holder summary

KURNIAWAN, LYDIAWATI is a Physical Therapist Assistant licensed to practice in Wisconsin. This licensed professional license is not current. The license was granted 08/18/2009 and expired on 02/28/2015.

Wisconsin

Department of Safety and Professional Services

KURNIAWAN, LYDIAWATI
Physical Therapist Assistant
License number
1583-19
Date granted
08/18/2009
Date expires
02/28/2015
Class
Physical Therapist Assistant
Status
Expired
wisconsinlicensing.org
ID 36328959
LAST UPDATED 2026-05-16 17:07:52 UTC

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