F LYNNE FORISTER Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000777

License Status

INACTIVE

Business

First Name

F LYNNE

Last Name

FORISTER

Business Name

F LYNNE FORISTER

Original Issue Date

10/22/1991

Effective Date

11/23/2021

Expiration Date

09/30/2023

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

09/21/2023