LISA VICTORIA DEPASQUALE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011132

License Status

NOT RENEWED

Business

First Name

LISA

Middle

VICTORIA

Last Name

DEPASQUALE

Business Name

LISA VICTORIA DEPASQUALE

Original Issue Date

02/10/1999

Effective Date

09/01/2020

Expiration Date

09/30/2022

City

ST AUGUSTINE

State

Zip

32080

County

LAKE

Ever Disciplined

LastModifiedDate

11/28/2022