LISA MICHELLE GANTT - Physical Therapist License in Missouri | # 160003949

LISA MICHELLE GANTT

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003949

License Status

NOT RENEWED

Business

N

First Name

LISA

Middle

MICHELLE

Last Name

GANTT

Business Name

LISA MICHELLE GANTT

Original Issue Date

11/15/2001

Effective Date

08/27/2019

Expiration Date

01/31/2022

State

MO

Ever Disciplined

N

LastModifiedDate

05/19/2022