LORI L MANDORCA Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002221

License Status

INACTIVE

Business

First Name

LORI L

Last Name

MANDORCA

Business Name

LORI L MANDORCA

Original Issue Date

09/06/1995

Effective Date

09/30/2005

Expiration Date

09/30/2007

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

07/05/2007