LISA D SCHROCK Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000431

License Status

INACTIVE

Business

First Name

LISA D

Last Name

SCHROCK

Business Name

LISA D SCHROCK

Original Issue Date

08/18/1991

Effective Date

08/18/1991

Expiration Date

09/30/2005

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/17/2005