KATHLEEN MERCADO SISON Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070016179

License Status

INACTIVE

Business

First Name

KATHLEEN

Middle

MERCADO

Last Name

SISON

Business Name

KATHLEEN MERCADO SISON

Original Issue Date

01/15/2008

Effective Date

09/16/2010

Expiration Date

09/30/2012

City

PORT ST LUCIE

State

Zip

34987

Ever Disciplined

LastModifiedDate

07/05/2012