LORRAINE MAE PATRON BAE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070021652

License Status

NOT RENEWED

Business

First Name

LORRAINE MAE

Middle

PATRON

Last Name

BAE

Business Name

LORRAINE MAE PATRON BAE

Original Issue Date

08/13/2015

Effective Date

09/09/2020

Expiration Date

09/30/2022

City

SPRINGFIELD

State

Zip

62704

County

HAMILTON

Ever Disciplined

LastModifiedDate

11/28/2022