MOLLY DANIELLE LISENBY Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013673

License Status

ACTIVE

Business

First Name

MOLLY

Middle

DANIELLE

Last Name

LISENBY

Business Name

MOLLY DANIELLE LISENBY

Original Issue Date

10/09/2003

Effective Date

09/28/2024

Expiration Date

09/30/2026

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

09/28/2024