LISA B MCINTOSH Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009133

License Status

NOT RENEWED

Business

First Name

LISA B

Last Name

MCINTOSH

Business Name

LISA B MCINTOSH

Original Issue Date

10/12/1995

Effective Date

10/12/1995

Expiration Date

09/30/1998

City

SWANSEA

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/14/2005