LORI A WILDER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000760

License Status

NOT RENEWED

Business

First Name

LORI A

Last Name

WILDER

Business Name

LORI A WILDER

Original Issue Date

10/16/1991

Effective Date

07/29/2015

Expiration Date

09/30/2017

City

NASHVILLE

State

Zip

62263

County

WASHINGTON

Ever Disciplined

LastModifiedDate

11/01/2017