SUSAN PORTNER Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070005588

License Status

ACTIVE

Business

First Name

SUSAN

Last Name

PORTNER

Business Name

SUSAN PORTNER

Original Issue Date

02/17/1989

Effective Date

09/09/2024

Expiration Date

09/30/2026

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

09/09/2024