MACKENZIE ALYSSA LARSEN Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070022632

License Status

ACTIVE

Business

First Name

MACKENZIE

Middle

ALYSSA

Last Name

LARSEN

Business Name

MACKENZIE ALYSSA LARSEN

Original Issue Date

09/01/2016

Effective Date

09/22/2024

Expiration Date

09/30/2026

City

CARY

State

Zip

60013

County

LAKE

Ever Disciplined

LastModifiedDate

09/22/2024