LISA JO TROUT Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000343

License Status

NOT RENEWED

Business

First Name

LISA JO

Last Name

TROUT

Business Name

LISA JO TROUT

Original Issue Date

08/01/1991

Effective Date

07/24/2017

Expiration Date

09/30/2019

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

01/13/2020