LISA MARIE WALDHOFF Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001248

License Status

INACTIVE

Business

First Name

LISA

Middle

MARIE

Last Name

WALDHOFF

Business Name

LISA MARIE WALDHOFF

Original Issue Date

01/21/1992

Effective Date

01/21/1992

Expiration Date

09/30/2001

City

SHUMWAY

State

Zip

62461

Ever Disciplined

LastModifiedDate

10/17/2005