JOSEPH LIDESTER - Physical Therapist License in Wisconsin | # 160007573

JOSEPH LIDESTER

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160007573

License Status

NOT RENEWED

Business

N

First Name

JOSEPH

Last Name

LIDESTER

Business Name

JOSEPH LIDESTER

Original Issue Date

07/28/2016

Effective Date

09/07/2017

Expiration Date

09/30/2019

State

WI

Ever Disciplined

N

LastModifiedDate

01/13/2020