STACI M LAPORTA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000546

License Status

NOT RENEWED

Business

First Name

STACI M

Last Name

LAPORTA

Business Name

STACI M LAPORTA

Original Issue Date

09/12/1991

Effective Date

09/30/2009

Expiration Date

09/30/2011

City

HIGHLAND

State

Zip

62249

County

MADISON

Ever Disciplined

LastModifiedDate

11/04/2011