LORISSA L WIMBERLY Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070008010

License Status

NOT RENEWED

Business

First Name

LORISSA L

Last Name

WIMBERLY

Business Name

LORISSA L WIMBERLY

Original Issue Date

01/22/1994

Effective Date

01/22/1994

Expiration Date

09/30/2000

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005