LISA MARIE DEKAM - Physical Therapist License in Minnesota | # 070012400

LISA MARIE DEKAM

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012400

License Status

INACTIVE

Business

N

First Name

LISA

Middle

MARIE

Last Name

DEKAM

Business Name

LISA MARIE DEKAM

Original Issue Date

03/28/2001

Effective Date

03/28/2001

Expiration Date

09/30/2002

State

MN

Ever Disciplined

N

LastModifiedDate

10/17/2005