LISA A SHORE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004510

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

SHORE

Business Name

LISA A SHORE

Original Issue Date

10/07/2005

Effective Date

07/09/2013

Expiration Date

09/30/2015

City

NORTH FORT MYERS

State

Zip

33903

County

FLORIDA

Ever Disciplined

LastModifiedDate

11/03/2015