LISA K THOMPSON Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004300

License Status

INACTIVE

Business

First Name

LISA K

Last Name

THOMPSON

Business Name

LISA K THOMPSON

Original Issue Date

12/17/1984

Effective Date

07/30/2018

Expiration Date

09/30/2020

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

07/27/2020