LISA A ANDERSON Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002059

License Status

ACTIVE

Business

First Name

LISA A

Last Name

ANDERSON

Business Name

LISA A ANDERSON

Original Issue Date

12/31/1994

Effective Date

09/13/2025

Expiration Date

09/30/2027

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

09/13/2025