LISA M KROG - Physical Therapist License in Georgia | # 160004700

LISA M KROG

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004700

License Status

INACTIVE

Business

N

First Name

LISA

Middle

M

Last Name

KROG

Business Name

LISA M KROG

BusinessDBA

ATHMANN

Original Issue Date

11/14/2006

Effective Date

08/17/2015

Expiration Date

09/30/2017

State

GA

Ever Disciplined

N

LastModifiedDate

07/07/2017