LORI L PHALEN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003767

License Status

NOT RENEWED

Business

First Name

LORI L

Last Name

PHALEN

Business Name

LORI L PHALEN

Original Issue Date

11/08/1982

Effective Date

09/02/2020

Expiration Date

09/30/2022

City

OHIO

State

Zip

61349

County

BUREAU

Ever Disciplined

LastModifiedDate

11/28/2022