LISA LORRAINE WILLARD Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017030

License Status

ACTIVE

Business

First Name

LISA

Middle

LORRAINE

Last Name

WILLARD

Business Name

LISA LORRAINE WILLARD

Original Issue Date

04/03/2009

Effective Date

09/04/2024

Expiration Date

09/30/2026

City

MONTICELLO

State

Zip

61856

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/04/2024