LORI DOUGLASS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001880

License Status

NOT RENEWED

Business

First Name

LORI

Last Name

DOUGLASS

Business Name

LORI DOUGLASS

Original Issue Date

03/10/1994

Effective Date

03/10/1994

Expiration Date

09/30/1997

City

MCLEANSBORO

State

Zip

62859

County

HAMILTON

Ever Disciplined

LastModifiedDate

10/14/2005