LISA M VANWIEL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070024440

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

VANWIEL

Business Name

LISA M VANWIEL

Original Issue Date

07/31/2019

Effective Date

09/09/2020

Expiration Date

09/30/2022

City

DAVENPORT

State

Zip

52807

Ever Disciplined

LastModifiedDate

11/28/2022