LISA A KIRBY Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001264

License Status

NOT RENEWED

Business

First Name

LISA A

Last Name

KIRBY

Business Name

LISA A KIRBY

Original Issue Date

12/30/1991

Effective Date

09/04/2015

Expiration Date

09/30/2017

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Ever Disciplined

LastModifiedDate

11/01/2017